Paradoxical Infarct in Tuberculous Meningitis: A Case Report

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概要

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• We describe a case of 78-year-old woman with a 1-week history of fever and left hemiparesis. Head magnetic resonance imaging showed a small infarct. After admission, she showed altered consciousness and another small infarct. She finally had diagnoses of miliary tuberculosis (miliary-TB) and tuberculous meningitis (TBM). She recovered after receiving anti-tuberculous therapy (ATT) with prednisolone. However, 5 weeks later, we found another infarct. This is a rare case of TBM with recurrent infarcts in atypical lesions in spite of ATT. We suggest the possibility that the new infarct after ATT was due to a paradoxical reaction.

著者

• Morioka Hiroshi

  Division of Infectious Disease, Tokyo Metropolitan Komagome Hospital, Japan

• Matsumoto Shuuichi

  Division of Respiratory and Allergy Medicine, Komaki Municipal Hospital, Japan

• Kojima Eiji

  Division of Respiratory and Allergy Medicine, Komaki Municipal Hospital, Japan

• Takada Kazuto

  Division of Respiratory and Allergy Medicine, Komaki Municipal Hospital, Japan

• Iwata Susumu

  Division of Respiratory and Allergy Medicine, Komaki Municipal Hospital, Japan

• Okachi Shoutaro

  Department of Respiratory Medicine, Nagoya University Graduate School of Medicine, Japan

関連論文

• Paradoxical Infarct in Tuberculous Meningitis: A Case Report

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