Document Detail


Paradoxical infarct in tuberculous meningitis: a case report.
MedLine Citation:
PMID:  22504257     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
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.
Authors:
Hiroshi Morioka; Shuuichi Matsumoto; Eiji Kojima; Kazuto Takada; Susumu Iwata; Shoutaro Okachi
Related Documents :
156607 - Noninvasive screening criteria for enhanced 4-year survival after aortocoronary bypass ...
8562577 - Effects of brief and prolonged ischemia on eicosanoid synthesis in dog and rat hearts.
3756577 - Transient myocardial ischemia: experimental echocardiographic demonstration and evaluat...
24372917 - Value of two-dimensional longitudinal strains analysis to assess the impact of thrombus...
2524297 - Coronary arteriography and percutaneous transluminal coronary angioplasty. changing pat...
24669107 - Close proximity of left anterior descending artery to the right ventricular lead appare...
Publication Detail:
Type:  Journal Article     Date:  2012-04-15
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  51     ISSN:  1349-7235     ISO Abbreviation:  Intern. Med.     Publication Date:  2012  
Date Detail:
Created Date:  2012-04-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  949-51     Citation Subset:  IM    
Affiliation:
Division of Infectious Disease, Tokyo Metropolitan Komagome Hospital, Japan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Weber-christian disease developing into mediastinitis and pleuritis with massive pleural effusion.
Next Document:  Presentation of two cases diagnosed with Brucella endocarditis.