Cerebral Toxoplasmosis Combined with Disseminated Tuberculosis
Journal of Korean Neurosurgical Society
;
: 316-319, 2012.
Article
in English
| WPRIM
| ID: wpr-11971
ABSTRACT
A 24-year-old man presented with mental change, fever, abdominal pain, tenderness and palpable mass on the lower abdomen. He was a non-Korean engineer and did not accompany a legal guardian, so medical history taking was difficult due to his mental status. Brain magnetic resonance imaging showed multiple rim-enhanced lesions of the brain, and abdominal computed tomography showed huge paraspinal abscess. Chest X-ray and computed tomography showed poorly defined nodular opacities. We initially thought that this patient was infected with toxoplasmosis with typical cerebral image finding and immunoglobulin laboratory finding of cerebrospinal fluid and serum study. The abdominal abscess was confirmed as tuberculosis through the pathologic finding of caseous necrosis. We used anti-tuberculosis medication and anti-toxoplasmosis medication for almost 4 months, and then his clinical state and radiological findings were considerably improved.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Thorax
/
Tuberculosis
/
Brain
/
Immunoglobulins
/
Magnetic Resonance Imaging
/
Abdominal Pain
/
Toxoplasmosis
/
Toxoplasmosis, Cerebral
/
Abdominal Abscess
/
Abscess
Limits:
Humans
Language:
English
Journal:
Journal of Korean Neurosurgical Society
Year:
2012
Type:
Article
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