A Case of Tuberculous Leptomeningitis and Myelitis
Journal Title: Journal of Neurological Sciences-Turkish - Year 2005, Vol 22, Issue 3
Abstract
A 22-year-old female patient was admitted with the complaints of abdominal pain, high fever and confusion. Physical examination revealed nuchal rigidity and Kernig-Brudzinsky sign. High pressure, xanthochromic appearance, 42 cells/mm3 (%90 lymphocytes), high protein level and normal glucose level were detected in cerebrospinal fluid analysis. She was diagnosed as suppressed purulent meningitis due to prior empirical antibiotherapy and was given intravenous ceftriaxon. Despite the therapy, the number of cells increased and glucose level decreased in the cerebrospinal fluid. Tuberculous meningitis was considered and therefore anti-tuberculotic and corticosteroid therapies were started. On the tenth day of therapies loss of strength in lower extremities, flask bladder and back pain were added to the clinical picture. A granulomatous inflammatory tissue, which completely filled epidural sack and surrounded the radices at the level of T8-11, was seen in spinal MRI. Löwenstein-Jensen medium culture assay was positive for Mycobacterium tuberculosis.
Authors and Affiliations
Sukran KOSE, Hacer UC, Yasar ZORLU, Sumer SUTCUOGLU
Keywords
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