Affective Psychosis: A Rare Presentation of Tubercular Meningitis in a Tertiary Care Hospital

Abstract

Background: Tuberculosis (TB) is a disease which has been affecting humanity since archaic ages. Although tubercular meningitis (TBM) is the least commonly observed form of extra-pulmonary TB (5-15%), it is the most severe form in terms of mortality and morbidity. Case Report: A young female, 2 months post-partum, and a diagnosed case of miliary TB on irregular ATT since one and half month presented with mood and psychotic symptoms. There was no significant improvement noted with regular ATT, antipsychotic and mood stabilizer. Further evaluation revealed TBM with tuberculoma on treatment of which psychiatric symptoms subsided. Conclusion: Atypical presentation of TBM is not uncommon in developing nations like India. We report one such case presenting with syndromal psychiatric symptoms and signs. This report is intended to make psychiatrists aware of the unusual clinical presentations of tubercular meningitis.