Open AccessNeuromyelitis optica spectrum disorder and active tuberculosis
Author(s) -
James Kerr Grieve,
Scott Day,
David Connell,
Jonathan O’Riordan
Publication year - 2020
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2019-231524
Subject(s) - medicine , neuromyelitis optica , context (archaeology) , tuberculosis , spectrum disorder , multiple sclerosis , pediatrics , dermatology , immunology , psychiatry , pathology , paleontology , biology
Tuberculosis is on the rise again. It brings with it potential for neurological involvement both as a direct infection and as a parainfectious process. Accordingly we report the development of neurological problems affecting a 48-year-old patient's vision and sensation while being treated for active tuberculosis. At its nadir her vision deteriorated to nil perception of light and she had a sensory level to T10. Neuromyelitis optica spectrum disorder was diagnosed. We discuss our management strategy with neuromodulation in the context of active tuberculosis infection.