[Diagnostic difficulty for an acute hydrocephalus].
Tuberculosis disease, in its extra pulmonary form, remains a difficult diagnosis because of its atypical symptoms and evolution. We have observed a case of acute tuberculosis neuromeningitis, without being able to make a definite diagnosis prior to the patient's death because of the negativity of the initial bacteriological samples. We started the most probable appropriate treatment but in vain. This case allows us to challenge diagnostic methods and resulting treatments in emergency cases where tuberculosis is suspected. Moreover, it seems essential to do everything possible to find the bacterium when confronted with a patient with risk factors and clinical and radiological symptoms compatible with tubercular disease, before the disease becomes acute.
Service d'anesthésie-réanimation, hôpital d'instruction des armées du Val-de-Grâce, 74, boulevard de Port-Royal, 75230 Paris cedex 05, France. Electronic address: sylvain.vico@hotmail.fr.
S
S
Vico
L
L
Franck
M
M
Bensalah
C
C
Gil
S
S
De Rudnicki
D000208:Acute Disease; D000995:Antitubercular Agents / Q000627:therapeutic use; D002552:Cerebral Ventricles / Q000473:pathology; D005260:Female; D015600:Glasgow Coma Scale; D006801:Humans; D006849:Hydrocephalus / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D014390:Tuberculosis, Meningeal / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology
D000995:Antitubercular Agents
Acute hydrocephalus; Diagnosis; Diagnostic; Hydrocéphalie aiguë; Intensive care unit; Meningitis; Méningite; Réanimation; Tuberculose; Tuberculosis