Paradoxical infarct in tuberculous meningitis: A case report

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

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


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 languageEnglish
Pages (from-to)949-951
Number of pages3
JournalInternal Medicine
Issue number8
Publication statusPublished - 2012
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Internal Medicine


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