Successful Treatment of Multiple Multidrug Resistant Intracranial TuberculomataReport as inadecuate




Successful Treatment of Multiple Multidrug Resistant Intracranial Tuberculomata - Download this document for free, or read online. Document in PDF available to download.

Case Reports in Infectious Diseases - Volume 2016 2016, Article ID 1841529, 3 pages -

Case Report

Department of Infectious Diseases, Prince of Wales Hospital, Sydney, NSW, Australia

Prince of Wales Clinical School, University of NSW, Sydney, NSW, Australia

Department of Respiratory Medicine, Prince of Wales Hospital, Sydney, NSW, Australia

Institute of Neurological Sciences, Prince of Wales Hospital, Sydney, NSW, Australia

Received 7 November 2016; Accepted 18 December 2016

Academic Editor: Larry M. Bush

Copyright © 2016 Richard P. Sullivan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 21-year-old Bangladesh-born man presented with a month history of evolving neurological symptoms in the context of a six-month history of fever, night sweats, and axillary lymphadenopathy. He was subsequently diagnosed with multiple multidrug resistant intracranial tuberculomata and was successfully treated over two years. Intracranial multidrug resistant tuberculosis has a high mortality and successful treatment is rarely reported. Management is complex and requires consideration of the penetration and likely effect of antituberculous agents within the central nervous system. We discuss the role of various antituberculous agents, the duration of therapy, the utility of corticosteroids, the value of intrathecal and systemic therapy, and the need for rapid diagnosis.





Author: Richard P. Sullivan, Hazel F. Goldberg, Ross S. Mellick, and Jeffrey J. Post

Source: https://www.hindawi.com/



DOWNLOAD PDF




Related documents