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Central nervous system tuberculosis with miliary tuberculomas in a child: a case report
Maja Vrdoljak
; University Hospital for Infectious Diseases "Dr. Fran Mihaljević", Pediatric Infectious Diseases Department, Zagreb, Croatia
Tihana Kniewald
; University Hospital for Infectious Diseases "Dr. Fran Mihaljević", Pediatric Infectious Diseases Department, Zagreb, Croatia
Ivona Vladušić Lucić
; University Hospital for Infectious Diseases "Dr. Fran Mihaljević", Pediatric Infectious Diseases Department, Zagreb, Croatia
Goran Tešović
; University Hospital for Infectious Diseases "Dr. Fran Mihaljević", Pediatric Infectious Diseases Department, Zagreb, Croatia; University of Zagreb, School of Medicine, Zagreb, Croatia
Abstract
Central nervous system tuberculosis is a rare form of disease that carries the high mortality and the risk of permanent neurologic sequelae if not recognized early. Clinical, laboratory and radiologic manifestations are usually nonspecific, thus postponing establishment of correct diagnosis and initiation of treatment.
We report a child with central nervous system tuberculosis, which manifested with nontypical laboratory findings, as well as with the rare form of miliary intracranial tuberculomas. Signs of active tuberculosis outside the central nervous system in combination with insidious course of disease raised a suspicion on tuberculosis. Therefore, antituberculous therapy was initiated promptly, and the patient recovered completely, without permanent neurologic sequelae.
Keywords
tuberculosis; central nervous system; intracranial tuberculomas
Hrčak ID:
220033
URI
Publication date:
13.5.2019.
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