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Teaching NeuroImages: A case of tubercular arteritis and stroke after early discontinuation of antibiotic therapy.
MedLine Citation:
PMID:  23150536     Owner:  NLM     Status:  Publisher    
A 31-year-old man presented with acute left hemiplegia. History revealed a tuberculous pneumonia partially treated 10 months before, and headache and left leg jerks occurring recently. Upon examination, he was drowsy, with rightward gaze and head deviation and left hemiplegia. MRI showed an infarct on the right anterior and middle cerebral artery territory, leptomeningitis, and 2 tuberculomas (figure). Tests for HIV, syphilis, common bacteria, fungi, and viruses were negative. Despite antituberculosis therapy, he died after 37 days. Autopsy showed caseous necrosis, vasculitis, and confirmed tuberculosis diagnosis.
Leslie D Parish; Angelo Pirisi
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Publication Detail:
Journal Detail:
Title:  Neurology     Volume:  79     ISSN:  1526-632X     ISO Abbreviation:  Neurology     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401060     Medline TA:  Neurology     Country:  -    
Other Details:
Languages:  ENG     Pagination:  e181     Citation Subset:  -    
From the Department of Clinical and Experimental Medicine, Section of Neurology, University of Sassari, Sassari, Italy.
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