| Paradoxical infarct in tuberculous meningitis: a case report. | |
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MedLine Citation:
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PMID: 22504257 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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We describe a case of 78-year-old woman with a 1-week history of fever and left hemiparesis. Head magnetic resonance imaging showed a small infarct. After admission, she showed altered consciousness and another small infarct. She finally had diagnoses of miliary tuberculosis (miliary-TB) and tuberculous meningitis (TBM). She recovered after receiving anti-tuberculous therapy (ATT) with prednisolone. However, 5 weeks later, we found another infarct. This is a rare case of TBM with recurrent infarcts in atypical lesions in spite of ATT. We suggest the possibility that the new infarct after ATT was due to a paradoxical reaction. |
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Authors:
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Hiroshi Morioka; Shuuichi Matsumoto; Eiji Kojima; Kazuto Takada; Susumu Iwata; Shoutaro Okachi |
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Publication Detail:
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Type: Journal Article Date: 2012-04-15 |
Journal Detail:
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Title: Internal medicine (Tokyo, Japan) Volume: 51 ISSN: 1349-7235 ISO Abbreviation: Intern. Med. Publication Date: 2012 |
Date Detail:
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Created Date: 2012-04-16 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9204241 Medline TA: Intern Med Country: Japan |
Other Details:
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Languages: eng Pagination: 949-51 Citation Subset: IM |
Affiliation:
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Division of Infectious Disease, Tokyo Metropolitan Komagome Hospital, Japan. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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