Paradoxical infarct in tuberculous meningitis: A case report

Hiroshi Morioka; Shuuichi Matsumoto; Eiji Kojima; Kazuto Takada; Susumu Iwata; Shoutaro Okachi

doi:10.2169/internalmedicine.51.6830

Paradoxical infarct in tuberculous meningitis: A case report

Hiroshi Morioka, Shuuichi Matsumoto, Eiji Kojima, Kazuto Takada, Susumu Iwata, Shoutaro Okachi

Research output: Contribution to journal › Article › peer-review

3 Citations (Scopus)

Abstract

We describe a case of 78-year-old woman with a 1-week history of fever and left hemiparesis. Head magnetic resonance imaging showed a small infarct. After admission, she showed altered consciousness and another small infarct. She finally had diagnoses of miliary tuberculosis (miliary-TB) and tuberculous meningitis (TBM). She recovered after receiving anti-tuberculous therapy (ATT) with prednisolone. However, 5 weeks later, we found another infarct. This is a rare case of TBM with recurrent infarcts in atypical lesions in spite of ATT. We suggest the possibility that the new infarct after ATT was due to a paradoxical reaction.

Original language	English
Pages (from-to)	949-951
Number of pages	3
Journal	Internal Medicine
Volume	51
Issue number	8
DOIs	https://doi.org/10.2169/internalmedicine.51.6830
Publication status	Published - 2012
Externally published	Yes

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Internal Medicine

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10.2169/internalmedicine.51.6830

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abstract = "We describe a case of 78-year-old woman with a 1-week history of fever and left hemiparesis. Head magnetic resonance imaging showed a small infarct. After admission, she showed altered consciousness and another small infarct. She finally had diagnoses of miliary tuberculosis (miliary-TB) and tuberculous meningitis (TBM). She recovered after receiving anti-tuberculous therapy (ATT) with prednisolone. However, 5 weeks later, we found another infarct. This is a rare case of TBM with recurrent infarcts in atypical lesions in spite of ATT. We suggest the possibility that the new infarct after ATT was due to a paradoxical reaction.",

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T1 - Paradoxical infarct in tuberculous meningitis

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AU - Morioka, Hiroshi

AU - Matsumoto, Shuuichi

AU - Kojima, Eiji

AU - Takada, Kazuto

AU - Iwata, Susumu

AU - Okachi, Shoutaro

PY - 2012

Y1 - 2012

N2 - We describe a case of 78-year-old woman with a 1-week history of fever and left hemiparesis. Head magnetic resonance imaging showed a small infarct. After admission, she showed altered consciousness and another small infarct. She finally had diagnoses of miliary tuberculosis (miliary-TB) and tuberculous meningitis (TBM). She recovered after receiving anti-tuberculous therapy (ATT) with prednisolone. However, 5 weeks later, we found another infarct. This is a rare case of TBM with recurrent infarcts in atypical lesions in spite of ATT. We suggest the possibility that the new infarct after ATT was due to a paradoxical reaction.

AB - We describe a case of 78-year-old woman with a 1-week history of fever and left hemiparesis. Head magnetic resonance imaging showed a small infarct. After admission, she showed altered consciousness and another small infarct. She finally had diagnoses of miliary tuberculosis (miliary-TB) and tuberculous meningitis (TBM). She recovered after receiving anti-tuberculous therapy (ATT) with prednisolone. However, 5 weeks later, we found another infarct. This is a rare case of TBM with recurrent infarcts in atypical lesions in spite of ATT. We suggest the possibility that the new infarct after ATT was due to a paradoxical reaction.

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Paradoxical infarct in tuberculous meningitis: A case report

Abstract

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