Cerebral infarction and cerebral salt wasting syndrome in a patient with tuberculous meningoencephalitis.
A 38-year old female with underlying systemic lupus erythematosus was admitted with tuberculous meningoencephalitis. After an initial good response to anti-tuberculous treatment, she developed cerebral infarction and profound hyponatremia. This was due to cerebral salt wasting syndrome, which has only previously been described in 2 cases. The difficulties in diagnosis and management of this case are discussed.
Loo
K L
KL
Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Ramachandran
R
R
Abdullah
B J
BJ
Chow
S K
SK
Goh
E M L
EM
Yeap
S S
SS
D000328:Adult; D002544:Cerebral Infarction / Q000150:complications* / Q000382:microbiology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007010:Hyponatremia / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D007177:Inappropriate ADH Syndrome / Q000175:diagnosis; D008180:Lupus Erythematosus, Systemic / Q000150:complications / Q000175:diagnosis; D008590:Meningoencephalitis / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D014390:Tuberculosis, Meningeal / Q000150:complications* / Q000175:diagnosis