Abstract
Tubercular meningitis can be a great mimicker with varied manifestations. Here we present two cases with extremely unusual presentations. First case is of a 22 year boy who presented with 2 weeks history of headache following a minor accidental fall and blunt injury to head and was diagnosed as tubercular meningitis .Second case is a 42 year old man presented with 6 months history of fever and followed by a stroke involving the left capsulogangionic region and diagnosed as tubercular meningitis. First case presented without fever or other features of meningitis while second case had prolonged 6 months fever followed by Vasculitic infarcts related to tuberculosis without any other systemic organ involvement.
References
- Murthy JM. Management of intracranial pressure in tuberculous meningitis. Neurocrit Care 2005;2:306-12.
- Rock RB, Olin M, Baker CA, Molitor TW, Peterson PK. Central nervous system tuberculosis: Pathogenesis and clinical aspects. Clin Microbiol Rev 2008;21:243-61.
- Global tuberculosis control: Epidemi-ology, strategy, financing, WHO report 2009 (publication No. WHO/HMT/TB/ 2009.411). Geneva: World Health Organization; 2009.
- Dye C, Scheele S, Dolin P, Pathania V, Raviglione MC. Consensus statement. Global burden of tuberculosis: Estimated incidence, prevalence, and mortality by country. WHO Global Surveillance and Monitoring Project. JAMA 1999;282:677-86.
- Bishburg E, Sunderam G, Reichman LB, Kapila R. Central nervous system tuberc-ulosis with the acquired immunodeficiency syndrome and its related complex. Ann Intern Med 1986;105:210-3
- Chakraborty AK. Estimating mortality from tuberculous meningitis in a community: Use of available epidemio-logical parmeters in the Indian context. Ind J Tub 2000;47:9-12.
- Nair PP, Kalita J, Kumar S, et al. MRI pattern of infarcts in basal ganglia region in patients with tuberculous meningitis. Neuroradiology 2009;51:221–225.
- Lincoln EM. Tuberculous meningitis in children; with special reference to serous meningitis; tuberculous meningitis. Am Rev Tuberc 1947;56:75–94. 9.
- Murthy JM. Managementof intracranial pressure in tuberculous meningitis. Neurocrit Care 2005;2:306–312.
- Blumberg HM, Burman WJ, Chaisson RE, et al. American Thoracic Society/Centers for Disease Control andPrevention /Infect-ious Diseases Society of America: treatment of tuberculosis. Am J Respir Crit Care Med 2003;167:603–662.
Corresponding Author
Dr Praveen Kumar Yadav
Flat 2C, Tower 3, Salarpuria Gardenia, Martin Luther Road,
Bidhannagar, Durgapur, West Bengal
Pin-713212, Mob-9933585895/9800043959, Fax- 0343-2532550