title: Tuberculous meningoencephalitis in a pregnant woman presenting 7 years after removal of a cerebral granuloma.
abstract: 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.
authors.affiliation: Division of Infectious Diseases, San Francisco General Hospital, University of California, 1001 Potrero Avenue, San Francisco, CA 94110, USA. catherine.liu@ucsf.edu
authors.forename: C
authors.initials: C
authors.lastname: Liu
authors.forename: L J
authors.initials: LJ
authors.lastname: Christie
authors.forename: J
authors.initials: J
authors.lastname: Neely
authors.forename: M
authors.initials: M
authors.lastname: Gandhi
authors.forename: R A
authors.initials: RA
authors.lastname: Jacobs
authors.forename: A
authors.initials: A
authors.lastname: Bollen
authors.forename: C A
authors.initials: CA
authors.lastname: Glaser
mesh_terms: 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*