Multiple tuberculomas in an immunocompetent patient and their diagnostic challenge in a high prevalence country: Case report and literature review

Velásquez-Rimachi, Victor; Orellana-Tovar, Ivon; Rodriguez-López, Ethel; López-Saavedra, Angélica; Esteban-Arias, Darío; Pacheco‐Barrios, Kevin; Metcalf, Tatiana; Alva-Díaz, Carlos

doi:10.1016/j.ijtb.2020.05.007

Indian Journal of Tuberculosis

2020

DOI: 10.1016/j.ijtb.2020.05.007

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Multiple tuberculomas in an immunocompetent patient and their diagnostic challenge in a high prevalence country: Case report and literature review

Victor Velásquez-Rimachi

Ivon Orellana-Tovar²,

Ethel Rodriguez-López³

et al.

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Cited by 2 publications

(2 citation statements)

References 27 publications

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confidence: 99%

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Cerebral tuberculoma are commonly accompanied by other imaging abnormalities

Finsterer¹

2022

Annals of Medicine &Amp; Surgery

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mentioning

confidence: 99%

“…Tuberculoma of the brain may be associated with headache [ 8 ]. In a study of 28 patients with cerebral tuberculoma, headache was the most common presenting symptom occurring in 52% of patients [ 8 ]. We should be told how many of the included patients reported headache either at onset or during the disease course.…”

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confidence: 99%

Cerebral tuberculoma are commonly accompanied by other imaging abnormalities

Finsterer¹

2022

Annals of Medicine &Amp; Surgery

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Cerebellar Ataxia Caused by Central Nervous System Tuberculosis With Pulmonary Tuberculosis: A Case Report

Saishoji¹,

Mori²,

Izumi³

2023

Cureus

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Central nervous system (CNS) tuberculosis (TB) remains a serious disease with high morbidity and mortality but is often difficult to diagnose owing to less sensitive microbiological techniques. Herein, we present a case where the main complaint was staggering gait; however, the patient was diagnosed with CNS TB associated with pulmonary TB. A woman in her 70s was admitted to our hospital with a two-month history of progressive ataxia. Cerebrospinal fluid examination showed an elevated lymphocyte count; however, cranial imaging studies did not show significant findings. However, we performed positron emission tomography-computed tomography imaging owing to suspicions of paraneoplastic syndrome, which showed substantial 18 F-fluorodeoxyglucose accumulation in the lungs. A subsequent bronchoscopy exam led to a pulmonary TB diagnosis for which the patient was treated, and the patient's symptoms fully resolved. Finally, we diagnosed ataxia due to CNS TB with pulmonary TB after excluding other causes of ataxia and because of a lymphocyte-predominant increase of cells in the spinal fluid. Thus, TB infection should be considered in cases of cerebellar ataxia of unknown etiology.

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Multiple tuberculomas in an immunocompetent patient and their diagnostic challenge in a high prevalence country: Case report and literature review

Cited by 2 publications

References 27 publications

Cerebral tuberculoma are commonly accompanied by other imaging abnormalities

Cerebral tuberculoma are commonly accompanied by other imaging abnormalities

Cerebellar Ataxia Caused by Central Nervous System Tuberculosis With Pulmonary Tuberculosis: A Case Report

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