title: Pure motor axonal neuropathy triggered by antituberculous therapy in an undiagnosed case of acute intermittent porphyria.
abstract: A man aged 22 years misdiagnosed as suffering from recurrent abdominal tuberculosis, in view of recurrent abdominal pain was treated for abdominal tuberculosis in the past. The patient was prescribed antituberculous therapy. 2 months after starting treatment, he developed progressive weakness of all 4 limbs. Electrodiagnostic examination revealed an acute severe motor axonal neuropathy. Further workup revealed elevated porphyrin precursors in urine.
authors.affiliation: Department of Neurology, Aga Khan University Hospital, Karachi, Pakistan.
authors.forename: Masood Uz Zaman
authors.initials: MU
authors.lastname: Babar
authors.affiliation: Department of Neurology, Aga Khan University Hospital, Karachi, Pakistan.
authors.forename: Haris
authors.initials: H
authors.lastname: Hakeem
authors.affiliation: Aga Khan University Hospital, Karachi, Pakistan.
authors.forename: Sara
authors.initials: S
authors.lastname: Khan
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000995:Antitubercular Agents / Q000009:adverse effects*; D003951:Diagnostic Errors; D056768:Giant Axonal Neuropathy / Q000139:chemically induced*; D006801:Humans; D008297:Male; D017118:Porphyria, Acute Intermittent / Q000175:diagnosis*; D014376:Tuberculosis / Q000175:diagnosis* / Q000188:drug therapy; D055815:Young Adult
chemical_list: D000995:Antitubercular Agents