Tuberculous meningitis initially manifesting as acute areflexic paraparesis: A case report

KEY CLINICAL MESSAGE: TBM has a very high rate of adverse sequelae if not treated immediately. Diagnosing can be challenging due to overlapping symptoms with other disease processes, and diagnostic tests are often inconclusive. ABSTRACT: A 20‐year‐old man experienced progressive paraplegia and urina...

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Detalles Bibliográficos
Autores principales: Reynaldo, Balintona, Illahi, Memon Noor, Iqbal, Tarab, Nayyar, Sidra M., Nashwan, Abdulqadir J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10354349/
https://www.ncbi.nlm.nih.gov/pubmed/37476602
http://dx.doi.org/10.1002/ccr3.7698
Descripción
Sumario:KEY CLINICAL MESSAGE: TBM has a very high rate of adverse sequelae if not treated immediately. Diagnosing can be challenging due to overlapping symptoms with other disease processes, and diagnostic tests are often inconclusive. ABSTRACT: A 20‐year‐old man experienced progressive paraplegia and urinary retention. After extensive laboratory and imaging evaluation for tuberculous meningitis and alternative diagnoses, spinal MRI showed features suggestive of arachnoiditis. He was treated empirically with anti‐tuberculosis drugs and corticosteroids. This led to significant improvement and eventual recovery.

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