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TB Meningitis

George SG - MedPix (2010)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: TB Meningitis

History: 61 yo AAF with PMH sig for AIDS medvac from LAMC with suspected miliary TB seen on CT. Pt recently was medvac from Kenya with malaria. MRI of brain in LAMC showed ring enhancing lesions +LP with +crypto antigen at LAMC. She was started on Ampho B. Pt now complains of head and neck pain on flexion with increasing lethargy. Daughter of pt states that she has witness some new-onset seziure like activity as well.

Findings: Multiple small ring enhancing lesions seen on T1W Flair post Gad in cortex, cerebellum and brainstem.

Ddx: Neuro TB Meningitis/Tuberculomas Lymphoma Toxoplasmosis

Dxhow: empiric treatment of TB and symptom resolution

Exam: + Kernig's sign + Brudzinski's sign. -Toxo IgM, +Toxo IgG - cysticercosis - VDRL - HSV - Crypto antigen CD4 327 - AFB on broncho lavage

No MeSH data available.


Multiple, small ring enhancing lesions.
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MPX1765_synpic52690: Multiple, small ring enhancing lesions.


TB Meningitis

George SG - MedPix (2010)

Multiple, small ring enhancing lesions.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1765&req=5

MPX1765_synpic52690: Multiple, small ring enhancing lesions.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: TB Meningitis

History: 61 yo AAF with PMH sig for AIDS medvac from LAMC with suspected miliary TB seen on CT. Pt recently was medvac from Kenya with malaria. MRI of brain in LAMC showed ring enhancing lesions +LP with +crypto antigen at LAMC. She was started on Ampho B. Pt now complains of head and neck pain on flexion with increasing lethargy. Daughter of pt states that she has witness some new-onset seziure like activity as well.

Findings: Multiple small ring enhancing lesions seen on T1W Flair post Gad in cortex, cerebellum and brainstem.

Ddx: Neuro TB Meningitis/Tuberculomas Lymphoma Toxoplasmosis

Dxhow: empiric treatment of TB and symptom resolution

Exam: + Kernig's sign + Brudzinski's sign. -Toxo IgM, +Toxo IgG - cysticercosis - VDRL - HSV - Crypto antigen CD4 327 - AFB on broncho lavage

No MeSH data available.