Tuberculosis Meningitis in a 9-Month-Old Girl during the COVID-19 Pandemic.

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL Case Reports in Medicine Pub Date : 2024-09-20 eCollection Date: 2024-01-01 DOI:10.1155/2024/9586953
Amir-Hassan Bordbari, Kobra Sheidaee, Azin Hajialibeig, Mohammad Reza Navaeifar, Maedeh Gooran, Mohammad Sadegh Rezai
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Abstract

Tuberculous meningitis (TBM) is a serious form of TB disease that can result in high morbidity and mortality, particularly if there are delays in diagnosis and treatment. In this case report, a 9-month-old girl was admitted with persistent vomiting and focal seizures. On examination, she was found to have a right-side hemiparesis. Brain imaging showed intense nodular leptomeningeal enhancement, hydrocephalus, a hypolucent lesion in the left basal ganglia, arterial stenosis and vasculitis, and an old ischemic insult. The patient was initially diagnosed with an acute ischemic stroke and was treated with aspirin and antiepileptic drugs. The patient's condition failed to improve despite initial treatment, leading to further diagnostic procedures. The results uncovered a diagnosis of TBM. The case highlights the importance of considering TBM as a possible cause of neurological symptoms, especially during the coronavirus disease 2019 (COVID-19) pandemic where similar symptoms can be present in cases of neurological complications of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and multisystem inflammatory syndrome in children (MIS-C).

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在 COVID-19 大流行期间,一名 9 个月大的女孩患上了结核性脑膜炎。
结核性脑膜炎(TBM)是一种严重的结核病,可导致很高的发病率和死亡率,尤其是在延误诊断和治疗的情况下。在本病例报告中,一名 9 个月大的女童因持续呕吐和局灶性抽搐入院。检查发现她右侧偏瘫。脑部影像学检查显示,她的脑膜呈强结节状强化、脑积水、左侧基底节低密度病变、动脉狭窄和血管炎以及陈旧性缺血性损伤。患者最初被诊断为急性缺血性中风,接受了阿司匹林和抗癫痫药物治疗。尽管进行了初步治疗,但患者的病情仍不见好转,于是进行了进一步诊断。结果发现了 TBM 诊断。该病例强调了将 TBM 视为神经系统症状的可能病因的重要性,尤其是在冠状病毒病 2019(COVID-19)大流行期间,严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)感染和儿童多系统炎症综合征(MIS-C)的神经系统并发症病例中也可能出现类似症状。
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来源期刊
Case Reports in Medicine
Case Reports in Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
1.70
自引率
0.00%
发文量
53
审稿时长
13 weeks
期刊最新文献
Honey as an Alternative Dressing in Post-Palatoplasty-Two Case Reports. Renal Cell Carcinoma Masquerading as Acute Upper Gastrointestinal Bleeding. Case of T-B+NK+ X-Linked Severe Combined Immunodeficiency Disease. Case Study: Analyzing CFTR Mutations and SNPs in Pulmonary Fibrosis Patients with Unclear Symptoms. Tuberculosis Meningitis in a 9-Month-Old Girl during the COVID-19 Pandemic.
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