Erschienen in:
01.09.2009 | Commentary
Devastating yet treatable complication of tuberculous meningitis: the resistant TB abscess
verfasst von:
J. F. Salomão
Erschienen in:
Child's Nervous System
|
Ausgabe 9/2009
Einloggen, um Zugang zu erhalten
Excerpt
Neurotuberculosis (NTB) is a persistent disease in developing countries and its morbidity and mortality remain high in children, especially when there is a delay in diagnosis. NTB may be present mainly as tuberculous meningitis (TBM) or tuberculomas. TBM is the most common form of the disease in children and characteristically takes the form of a basal exudate seen in CT scan as a hyperdense lesion as shown by the authors. In this form, hydrocephalus is a common and often troublesome complication. Tuberculomas are less frequently seen and appear as isolated or multiple granulomatous lesions containing caseous material. Tuberculous abscesses (TBA) are encapsulated collections of pus containing viable acid-fast bacilli [
3], are a rare form of NTB, and must be differentiated from tubercular granuloma with central caseation or necrosis [
7]. The case of a patient with TBM who initially responded to a standard four-drug regimen plus corticosteroids, but subsequently deteriorated, is presented. …
