Tuberculous meningitis: treat upon suspicion

Myrthe Elisabeth Sonneveld; S. M. Zinkstok; F. J. B. Nellen; Adriaan G. Holleboom

doi:https://doi.org/10.1136/bcr-2012-006627

Tuberculous meningitis: treat upon suspicion

Myrthe Elisabeth Sonneveld, S. M. Zinkstok, F. J. B. Nellen, Adriaan G. Holleboom

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

Abstract

A 58-year-old man from Surinam was referred because of nausea, vomiting, weight loss, ascites and an altered mental state. Tuberculous meningitis was suspected upon examination of the cerebrospinal fluid and antituberculous treatment was initiated. However, the patient did not recover but developed haemiplegia with recurrent aspiration pneumonias. This case illustrates that empiric antituberculous treatment is warranted upon clinical suspicion, since no fast, sensitive diagnostic tests are available to date

Original language	English
Pages (from-to)	bcr2012006627
Journal	BMJ Case Reports
Volume	2012
DOIs	https://doi.org/10.1136/bcr-2012-006627
Publication status	Published - 2012

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https://doi.org/10.1136/bcr-2012-006627

Cite this

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title = "Tuberculous meningitis: treat upon suspicion",

abstract = "A 58-year-old man from Surinam was referred because of nausea, vomiting, weight loss, ascites and an altered mental state. Tuberculous meningitis was suspected upon examination of the cerebrospinal fluid and antituberculous treatment was initiated. However, the patient did not recover but developed haemiplegia with recurrent aspiration pneumonias. This case illustrates that empiric antituberculous treatment is warranted upon clinical suspicion, since no fast, sensitive diagnostic tests are available to date",

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AU - Zinkstok, S. M.

AU - Nellen, F. J. B.

AU - Holleboom, Adriaan G.

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AB - A 58-year-old man from Surinam was referred because of nausea, vomiting, weight loss, ascites and an altered mental state. Tuberculous meningitis was suspected upon examination of the cerebrospinal fluid and antituberculous treatment was initiated. However, the patient did not recover but developed haemiplegia with recurrent aspiration pneumonias. This case illustrates that empiric antituberculous treatment is warranted upon clinical suspicion, since no fast, sensitive diagnostic tests are available to date

U2 - https://doi.org/10.1136/bcr-2012-006627

DO - https://doi.org/10.1136/bcr-2012-006627

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SN - 1757-790X

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SP - bcr2012006627

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