Open AccessScrofula Presenting as Tubercular Meningitis: A Neglected Sequalae
Author(s) -
Yogesh Kautikrao Kakde,
Dhruv Talwar,
Charan Singh Bagga,
Janhavi Nitin Mahajan,
Suresh Kumar
Publication year - 2022
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2022/50767.15920
Subject(s) - medicine , tuberculosis , meningitis , irritability , genitourinary system , surgery , pediatrics , dermatology , pathology , menopause
Tuberculosis (TB) is a multiorgan disease that can affect any part of the body. Though it is thought to be affecting mainly the pulmonary system, genitourinary TB is a rare but important manifestation of TB. It has been reported in <0.5% of extra pulmonary tuberculosis. Amongst instances of genitourinary TB, glandular TB is even scarcer. Maximum patients seek medical intervention later in the progression of ailment due to the attached stigma linked with tuberculosis and in view of affected site and part of the body and the reluctance on the patient’s side. In this case report, a 58-year-old male presented to Medicine Department with the complaint of a non healing wound on the scrotal region with excoriation since one month and irritability with altered sensorium since a week. Ultimately, it turned out to be a case of tubercular meningitis resulting from a neglected scrofula with neck rigidity, Kernig's and Brudzinski's sign positive. Though many case reports involving tubercular meningitis have been reported, a neglected scrofula remains a rare manifestation of tubercular meningitis.