Tuberculous meningoencephalitis in a pregnant woman presenting 7 years after removal of a cerebral granuloma.
We describe the unusual case of a young woman with a history of seizures and a granulomatous, likely tuberculous brain lesion that was surgically removed. She had an uneventful recovery without any additional therapy other than anti-epileptics. Seven years later, she presented during pregnancy with culture-confirmed tuberculous meningoencephalitis. This case highlights the spectrum of tuberculous central nervous system disease and the challenges in diagnosis.
Liu
C
C
Division of Infectious Diseases, San Francisco General Hospital, University of California, 1001 Potrero Avenue, San Francisco, CA 94110, USA. catherine.liu@ucsf.edu
Christie
L J
LJ
Neely
J
J
Gandhi
M
M
Jacobs
R A
RA
Bollen
A
A
Glaser
C A
CA
D000328:Adult; D001921:Brain / Q000000981:diagnostic imaging / Q000473:pathology; D005260:Female; D006099:Granuloma / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008590:Meningoencephalitis / Q000382:microbiology*; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification*; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious; D011859:Radiography; D014390:Tuberculosis, Meningeal / Q000382:microbiology*