A case of tuberculous meningitis

In Canada, meningitis is a rare manifestation of Mycobacterium tuberculosis infection. Additionally, a microbiological diagnosis can be difficult because of low sensitivity of mycobacterial tests of cerebrospinal fluid specimens. The typical presentation of meningitis is in the form of subacute meningitis, which is life threatening in the absence of appropriate treatment. Therefore, a high index of suspicion must be maintained. We report a case of tuberculous meningitis highlighting the presentation, workup, and treatment of this serious infection. This report highlights the challenges in identifying cases and establishing a timely diagnosis. Close monitoring of the patient and collecting multiple cerebrospinal fluid samples can improve sensitivity.