Tuberculosis with meningitis, myeloradiculitis, arachnoiditis and hydrocephalus: a case report.
OBJECTIVE
Involvement of the central nervous system (CNS) by tuberculosis is rare; it can affect either immunocompromised or immunocompetent people.


METHODS
Here, we report a case of tuberculosis with CNS involvement. We present the case of an immunocompetent young man who developed fever, subacute headache, disturbance of consciousness, paraparesis, sphincter dysfunction, and hypoesthesia. The final diagnosis was tuberculous meningitis, myeloradiculitis and arachnoiditis based on clinical signs, imaging studies, and cerebrospinal fluid culture. The patient received antituberculosis medication with adjunct intravenous steroid therapy. Although his clinical condition improved significantly, some neurological sequelae persisted.


CONCLUSIONS
Methods for detection of CNS TB and treatment protocols should be constantly re-evaluated to improve treatment outcome and reduce likelihood and severity of neurological sequelae.
Liao
Pin-Wen
PW
Department of Neurology, Cathay General Hospital, Fu-Jen Catholic University, Taipei, Taiwan.
Chiang
Tsuey-Ru
TR
Lee
Mei-Ching
MC
Huang
Cheng-Hua
CH
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D001100:Arachnoiditis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D002494:Central Nervous System Infections / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D006849:Hydrocephalus / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008581:Meningitis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D013256:Steroids / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed / Q000379:methods; D014376:Tuberculosis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy
D000995:Antitubercular Agents; D013256:Steroids