title: [Tuberculous meningitis with atypical presentation in a patient with human immunodeficiency virus infection].
abstract: A 32 years old male patient is described with infection by the human immunodeficiency virus (HIV) on stage IV C1 and with positive Ag p24 who developed tuberculous meningitis of atypical presentation. A persistent liquoral neutrophilia and low adenosindeaminase values were observed in cerebrospinal fluid of purulent appearance. The patient responded badly to tuberculostatic treatment and died. In the antibiogram carried out resistance to Mycobacterium tuberculosis was observed to rifampicine and isoniazide, two of the five drugs the patient had received. The peculiarities of the clinical form of presentation similar to purulent bacterian meningitis are discussed, and the possible influence of HIV infection and the antibiotic multiresistance observed in the bad evolution of the tuberculous meningitis which the patient developed.
authors.affiliation: Servicio de Medicina Interna General, Hospital Clínic i Provincial, Barcelona.
authors.forename: M T
authors.initials: MT
authors.lastname: López
authors.forename: M
authors.initials: M
authors.lastname: Lluch
authors.forename: J
authors.initials: J
authors.lastname: Fernández-Solá
authors.forename: A
authors.initials: A
authors.lastname: Coca
authors.forename: A
authors.initials: A
authors.lastname: Urbano-Márquez
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000328:Adult; D006801:Humans; D008297:Male; D014390:Tuberculosis, Meningeal / Q000150:complications* / Q000188:drug therapy
vernacular_title: Meningitis tuberculosa de presentación atípica en un paciente con infección por el virus de la immunodeficiencia humana.