Open AccessNeurotuberculosis in an immunocompetent patient
Author(s) -
Amanda Ximenes Couto Bem Montenegro,
Emanuele Tavares Sales de Araujo,
Jane Cavalcante do Amaral,
Mário Henrique Tavares Sales de Araújo,
Luís Arthur Brasil Gadelha Farias,
Rafael Siqueira Athayde Lima
Publication year - 2018
Publication title -
revista de medicina
Language(s) - English
Resource type - Journals
eISSN - 1679-9836
pISSN - 0034-8554
DOI - 10.11606/issn.1679-9836.v97i6p581-584
Subject(s) - medicine , tuberculosis , hemiparesis , cerebrospinal fluid , neuroimaging , meningitis , intensive care medicine , surgery , radiology , pathology , lesion , psychiatry
Neurotuberculosis is a serious disease, occurring in about 5 to 10% of cases of extrapulmonary tuberculosis. The clinical spectrum varies according to the affected site (meningeal, cerebral parenchyma or spinal cord). Herein we present the case of a 32-year-old male patient with cough and weight loss who presented with hemiparesis and disorientation, receiving a diagnosis of neurotuberculosis using the Xpert MTB / RIF® test. The present case aims to report the clinical and neuroimaging data of an immunocompetent patient with neurotuberculosis.The definitive diagnosis is made by the detection of tuberculosis bacilli in cerebrospinal fluid. The RIF® Xpert MTB test has similar sensitivity and specificity to other diagnostic methods for tuberculosis and the advantage of providing information on resistance to rifampicin. The prognosis depends on the stage and onset of treatment.