Document Detail

Paradoxical infarct in tuberculous meningitis: a case report.
MedLine Citation:
PMID:  22504257     Owner:  NLM     Status:  In-Data-Review    
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.
Hiroshi Morioka; Shuuichi Matsumoto; Eiji Kojima; Kazuto Takada; Susumu Iwata; Shoutaro Okachi
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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    
Division of Infectious Disease, Tokyo Metropolitan Komagome Hospital, Japan.
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