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2008, Number 4

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Enf Infec Microbiol 2008; 28 (4)

Abscedated tuberculoma in a two-yearold child with lymph node tuberculosis

Caballero TA, Gil VM, Sánchez RG, Flores REM
Full text How to cite this article

Language: Spanish
References: 5
Page: 152-154
PDF size: 167.88 Kb.


Key words:

tuberculosis, tuberculoma, brain abscess.

ABSTRACT

The manifestations of tuberculosis in the CNS are tubercular meningitis and tuberculoma. Tuberculoma is an isolated tumor resulting from an inflammatory process due to M. tuberculosis. We present the case of a two-year-old boy with lymph node tuberculosis receiving antituberculosis treatment for 11 months without complications. During the followings six months, the patient showed left hemiparesia and headache. Magnetic resonance showed an isolated tumor in the cerebellum area.
Estereotaxic biopsy showed 15 ml of white liquid, and the culture showed Streptococcus intermedius and non identified anaerobes; the histopathologic study reported abundant neutrophils with numerous colonies of Gram positive coccobacillus.
Treatment included antifimic and antibiotic drugs.


REFERENCES

  1. Bayindir Cicek; Mete Ozgür; Bilgic Bilge “Retrospective study of 23 pathologically proven cases of central nervous system tuberculomas” Clin Neurol Neurosurg 2006;108(4):353-7.

  2. Nicolls DJ, King M, Holland D, Bala J, del Rio C. “Intracranial tuberculomas developing while on therapy for pulmonary tuberculosis”. Lancet Infect Dis 2005;5:795-801.

  3. Plessis J, Andronikou S, Wieselthaler N, Theron S, George R, Mapukata A. “CT features of tuberculous intracranial abscesses in children”. Pediatr Radiol 2007;37(2):167-72.

  4. Adeolu AA, Shokunbi MT, Malomo AO, Akang EA, Obajimi MO. “Solitary intracranial tuberculoma in patients without immuno-suppression: a report of three cases”. The Nigerian postgraduate medical journal 2006;13(1):69-72.

  5. Wasay M, Kheleani BA, Moolani MK, Zaheer J, Pui M, Hasan S, Muzaffar S. “Brain CT and MRI findings in 100 consecutive patients with intracranial tuberculoma”. Neuroimaging 2003;13(3):240-247.




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Enf Infec Microbiol. 2008;28