Meningitis and stridor in advanced Human immunodeficiency virus/acquired immune deficiency syndrome.
A 37-year-old female presented confused with a preceding history of severe headache. After clinical examination and investigations, she was diagnosed with disseminated tuberculosis (including central nervous system involvement), and Human immunodeficiency virus/acquired immune deficiency syndrome. Her hospital stay was complicated. She developed stridor and a cerebrovascular accident with left hemiplegia. She died approximately 2 weeks after admission. The potential causes of her stridor included a mediastinal mass or a central mechanism secondary to tuberculosis meningitis. Limited resources precluded definitive imaging of the chest to rule out a mediastinal mass. Further, an autopsy was not done. Despite these limitations, this case is unique because it reports the presence of both stridor and tuberculosis meningitis in an adult patient.
Department of Internal Medicine, Port Shepstone Regional Hospital, University of KwaZulu-Natal, South Africa.
P
P
Naidoo
D
D
Pillay
S
S
Saman
Human immunodeficiency virus; acquired immune deficiency syndrome; meningitis; stridor; tuberculosis