title: Asymptomatic pons tuberculoma in an infant with miliary tuberculosis.
abstract: Miliary tuberculosis is caused by the hematogenous spread of Mycobacterium tuberculosis and consists of 1.5% of all tuberculosis cases. It is seen mostly in infants because of the immature immune system, and central nervous system CNS involvement is not rare. Tuberculomas are rarely seen in the localized form of CNS tuberculosis, and only 4% are localized in the brain stem. We report a 4.5-month-old infant who deteriorated during follow-up with the diagnosis of cytomegalovirus pneumonia, and afterwards received the diagnosis of miliary tuberculosis. Although the baby had no neurologic abnormality and cerebrospinal fluid findings were normal, cranial MRI revealed contrast enhanced nodular lesions in pons, cerebellum, and right parietal region. The case is presented to intensify the importance of CNS investigation even if the patient with miliary tuberculosis has no neurologic finding.
authors.affiliation: Department of Pediatric Infectious Diseases, Ankara Children's Hospital, Social Security Institution, Ankara, Turkey. tugbagursoy@superonline.com
authors.forename: Gulnar
authors.initials: G
authors.lastname: Uysal
authors.forename: Tugba
authors.initials: T
authors.lastname: Gursoy
authors.forename: Umut
authors.initials: U
authors.lastname: Altunc
authors.forename: Akif
authors.initials: A
authors.lastname: Guven
mesh_terms: D006801:Humans; D007223:Infant; D008297:Male; D011149:Pons; D016862:Tuberculoma, Intracranial / Q000175:diagnosis*; D014391:Tuberculosis, Miliary / Q000175:diagnosis*