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Tuberculous Meningitis with Tuberculous Granulomas in Pregnancy – a Case Report

Olja Čuković orcid.org/0000-0001-9700-8786 ; Klinika za infektivne bolesti Univerzitetski klinički centar Republike Srpske, Banja Luka, BiH
Antonija Verhaz orcid.org/0000-0002-5558-976X ; Klinika za infektivne bolesti Univerzitetski klinički centar Republike Srpske, Banja Luka, BiH
Tatjana Roganović orcid.org/0000-0001-5469-5301 ; Klinika za infektivne bolesti Univerzitetski klinički centar Republike Srpske, Banja Luka, BiH
Irena Katan ; Klinika za infektivne bolesti Univerzitetski klinički centar Republike Srpske, Banja Luka, BiH
Zorislava Bajić ; Medicinski fakultet Univerziteta u Banja Luci, BiH

Sažetak

Tuberculous meningitis (TBM) is a severe consequence of Mycobacterium tuberculosis infection. Early clinical manifestations are often non-specific. In this case study, we showed tuberculous meningitis with tuberculous granulomas in a female patient during and after pregnancy, with all diagnostic and therapeutic dilemmas we had during her treatment. The patient was treated for 18 months. Our diagnostic findings showed extended pleocytosis and high protein level in cerebrospinal fluid (CSF), development of tuberculous granulomas in brain with relatively low inflammation parameters. Since it has been only a several days from the onset of the first symptoms to the beginning of treatment, the first signs of recovery showed very soon, despite development of the tuberculous granulomas. In the first 12 months tuberculostatic (TS) treatment was continuous, but after that period, treatment was intermittent for the next 6 months. After the treatment, a patient’s clinical and neurological status was normal as well as CSF analysis and neuroradiological findings.

Ključne riječi

tuberculosis; tuberculous meningitis, tuberculous granuloma

Hrčak ID:

227001

URI

https://hrcak.srce.hr/227001

Datum izdavanja:

22.10.2019.

Podaci na drugim jezicima: hrvatski

Posjeta: 2.093 *