Paradoxical Infarct in Tuberculous Meningitis: A Case Report

被引：3

作者：

Morioka, Hiroshi ^{[1
]}

Matsumoto, Shuuichi ^{[2
]}

Kojima, Eiji ^{[2
]}

Takada, Kazuto ^{[2
]}

Iwata, Susumu ^{[2
]}

Okachi, Shoutaro ^{[3
]}

机构：

[1] Tokyo Metropolitan Komagome Hosp, Div Infect Dis, Tokyo, Japan

[2] Komaki Municipal Hosp, Div Resp & Allergy Med, Komaki, Japan

[3] Nagoya Univ, Grad Sch Med, Dept Resp Med, Nagoya, Aichi 4648601, Japan

来源：

INTERNAL MEDICINE | 2012年 / 51卷 / 08期

关键词：

tuberculous meningitis; paradoxical reaction; miliary tuberculosis; infarct; central nervous system tuberculosis; STROKE;

D O I：

10.2169/internalmedicine.51.6830

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We describe a case of 78-year-old woman with a 1-week history of fever and left hemiparesis. Head magnetic resonance imaging showed a small infarct. After admission, she showed altered consciousness and another small infarct. She finally had diagnoses of miliary tuberculosis (miliary-TB) and tuberculous meningitis (TBM). She recovered after receiving anti-tuberculous therapy (ATT) with prednisolone. However, 5 weeks later, we found another infarct. This is a rare case of TBM with recurrent infarcts in atypical lesions in spite of ATT. We suggest the possibility that the new infarct after ATT was due to a paradoxical reaction.

引用

页码：949 / 951

页数：3

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