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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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
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author Reynaldo, Balintona
Illahi, Memon Noor
Iqbal, Tarab
Nayyar, Sidra M.
Nashwan, Abdulqadir J.
author_facet Reynaldo, Balintona
Illahi, Memon Noor
Iqbal, Tarab
Nayyar, Sidra M.
Nashwan, Abdulqadir J.
author_sort Reynaldo, Balintona
collection PubMed
description 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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spelling pubmed-103543492023-07-20 Tuberculous meningitis initially manifesting as acute areflexic paraparesis: A case report Reynaldo, Balintona Illahi, Memon Noor Iqbal, Tarab Nayyar, Sidra M. Nashwan, Abdulqadir J. Clin Case Rep 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 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. John Wiley and Sons Inc. 2023-07-18 /pmc/articles/PMC10354349/ /pubmed/37476602 http://dx.doi.org/10.1002/ccr3.7698 Text en © 2023 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Reynaldo, Balintona
Illahi, Memon Noor
Iqbal, Tarab
Nayyar, Sidra M.
Nashwan, Abdulqadir J.
Tuberculous meningitis initially manifesting as acute areflexic paraparesis: A case report
title Tuberculous meningitis initially manifesting as acute areflexic paraparesis: A case report
title_full Tuberculous meningitis initially manifesting as acute areflexic paraparesis: A case report
title_fullStr Tuberculous meningitis initially manifesting as acute areflexic paraparesis: A case report
title_full_unstemmed Tuberculous meningitis initially manifesting as acute areflexic paraparesis: A case report
title_short Tuberculous meningitis initially manifesting as acute areflexic paraparesis: A case report
title_sort tuberculous meningitis initially manifesting as acute areflexic paraparesis: a case report
topic Case Report
url 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
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