title: Mycobacterium bovis meningitis in young Nigerian-born male.
abstract: In Denmark, tuberculous meningitis is rare. Central nervous system (CNS) involvement with Mycobacterium bovis is even rarer and has only been seen three times since 1992. We present a case of M. bovis meningitis in a previously healthy young Nigerian-born male, who had been exposed to unpasteurized dairy products in Nigeria but had no known contact with larger mammals. Before the development of meningitis, the patient had several contacts with the health system due to fever and non-specific symptoms. Finally, upon hospital admission, the patient was diagnosed with M. tuberculosis complex meningitis and treated empirically. After 13 days he was discharged without neurological sequelae. Later, the culture revealed M. bovis and treatment was adjusted accordingly.
authors.affiliation: From the Department of Infectious Diseases, Copenhagen University Hospital, Rigshospitalet , Copenhagen.
authors.forename: Daniel
authors.initials: D
authors.lastname: Faurholt-Jepsen
authors.forename: Troels
authors.initials: T
authors.lastname: Lillebaek
authors.forename: Ming-Yuan
authors.initials: MY
authors.lastname: Nielsen
authors.forename: Susanne Dam
authors.initials: SD
authors.lastname: Nielsen
mesh_terms: D000328:Adult; D000818:Animals; D000995:Antitubercular Agents / Q000627:therapeutic use; D003718:Denmark; D006257:Head / Q000000981:diagnostic imaging; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009163:Mycobacterium bovis / Q000302:isolation & purification*; D009549:Nigeria; D011859:Radiography; D014390:Tuberculosis, Meningeal / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology*
chemical_list: D000995:Antitubercular Agents
keywords: Mycobacterium bovis; bovine tuberculosis; tuberculous meningitis; unpasteurized dairy foods