Diagnostic challenges of central nervous system tuberculosis

被引:21
|
作者
Christie, Laura J. [1 ,2 ,5 ]
Loeffler, Ann M. [3 ,4 ]
Honarmand, Somayeh [1 ]
Flood, Jennifer M. [1 ]
Baxter, Roger [5 ]
Jacobson, Susan [6 ]
Alexander, Rick [7 ]
Glaser, Carol A. [1 ]
机构
[1] Calif Dept Publ Hlth, Viral & Rickettsial Dis Lab, Richmond, CA 94804 USA
[2] Childrens Hosp & Res Ctr, Oakland, CA USA
[3] Legacy Emanuel Childrens Hosp, Portland, OR USA
[4] Francis J Curry Natl TB Ctr, San Francisco, CA USA
[5] Kaiser Oakland Med Ctr, Oakland, CA USA
[6] Kaiser Fremont Med Ctr, Fremont, CA USA
[7] Costa Cty Publ Hlth Lab, Martinez, CA USA
关键词
D O I
10.3201/eid1409.070264
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Central nervous system tuberculosis (TB) was identified in 20 cases of unexplained encephalitis referred to the California Encephalitis Project. Atypical features (encephalitic symptoms, rapid onset, age) and diagnostic challenges (insensitive cerebrospinal fluid [CSF] TB PCR result, elevated CSF glucose levels in patients with diabetes, negative result for tuberculin skin test) complicated diagnosis.
引用
收藏
页码:1473 / 1475
页数:3
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