Paradoxically developed optochiasmatic tuberculoma and tuberculous lymphadenitis: a case report with 18-month follow up by MRI.
We report the first case ofextracranial tuberculous lymphadenitis which paradoxically developed during treatment of intracranial tuberculoma. Our patient, a 15-year-old girl who initially presented with meningitis and intracranial tuberculomas, developed extracranial tuberculomas during treatment for central nervous system tuberculosis. She was followed clinically with cerebrospinal fluid (CSF) studies and magnetic resonance imaging (MRI) at three monthly intervals. Within 18 months of specific antituberculous treatment, the patient had fully recovered. The course and response to therapy are discussed in light of the current literature.
Kalkan
Ahmet
A
Department of Infectious Diseases, Radiology, Immunology and Ophthalmology, Firat University Medical School, Elazig, TR23119 Turkey. akalkan61@hotmail.com
Serhatlioglu
Selami
S
Ozden
Mehmet
M
Denk
Affan
A
Demirdag
Kutbettin
K
Yilmaz
Turgut
T
Kilic
Suleyman Sirri
SS
D000293:Adolescent; D000995:Antitubercular Agents / Q000627:therapeutic use; D024901:Drug Resistance, Multiple, Bacterial; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D009897:Optic Chiasm / Q000382:microbiology*; D016862:Tuberculoma, Intracranial / Q000175:diagnosis* / Q000188:drug therapy; D014388:Tuberculosis, Lymph Node / Q000175:diagnosis* / Q000188:drug therapy
D000995:Antitubercular Agents