
Stroke in a Patient with Recurrent Meningeal Tuberculosis and HIV Coinfection
Author(s) -
Dilia Fontalvo-Rivera,
Gustavo Mora-García,
Gustavo Jiménez-Borré,
Javier Segovia-Fuentes,
Doris GómezCamargo
Publication year - 2021
Publication title -
european medical journal. respiratory
Language(s) - English
Resource type - Journals
ISSN - 2054-3166
DOI - 10.33590/emjrespir/21-00075
Subject(s) - medicine , tuberculous meningitis , tuberculosis , coinfection , stroke (engine) , presentation (obstetrics) , meningitis , human immunodeficiency virus (hiv) , medical diagnosis , intensive care medicine , pediatrics , surgery , immunology , pathology , mechanical engineering , engineering
Recurrent tuberculous meningitis can have a non-specific clinical presentation when it presents as a co-infection with HIV and can resemble other causes of subacute and chronic meningitis, leading to unwanted outcomes; for this reason, timely diagnoses are required. The most widely used microbiological diagnostic methods can be of low sensitivity or have delayed results.The aim of this article is to present a clinical case of recurrent tuberculous meningitis with a clinical presentation of stroke due to a basal cistern ischaemic lesion in a patient co-infected with HIV, who had a microbiological confirmation and a drug sensitivity study with phenotypic and molecular tests.