A fatal case of tuberculous meningitis in a child with juvenile idiopathic arthritis: a diagnostic challenge
Rev. Soc. Bras. Med. Trop
;
50(5): 709-711, Sept.-Oct. 2017. tab, graf
Artículo
en Inglés
| LILACS
| ID: biblio-897014
ABSTRACT
Abstract The prognosis of tuberculous meningitis, a rare form of extrapulmonary tuberculosis, depends on the stage of treatment initiation. We report a fatal case of tuberculous meningitis. The patient had received successive tumor necrosis factor (TNF) antagonists and abatacept to treat juvenile idiopathic arthritis, with negative results for polymerase chain reaction and acid-fast bacilli on smear, had normal cerebrospinal fluid (CSF) adenosine deaminase and glucose levels. Six weeks post-admission, the CSF culture demonstrated Mycobacterium tuberculosis. The altered immunological responses caused by anti-TNF treatment made the diagnosis challenging. Clinicians should bear this in mind and, if suspected, treatment should be initiated immediately.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Artritis Juvenil
/
Tuberculosis Meníngea
/
Inhibidores del Factor de Necrosis Tumoral
/
Antituberculosos
Tipo de estudio:
Estudio diagnóstico
/
Estudio pronóstico
Límite:
Adolescente
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Rev. Soc. Bras. Med. Trop
Asunto de la revista:
Medicina Tropical
Año:
2017
Tipo del documento:
Artículo
País de afiliación:
Turquía
Institución/País de afiliación:
Medical School of Ege University/TR
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