Atypical presentation of tuberculosis in the central nervous system. Case report: Tuberculoma
DOI:
https://doi.org/10.61182/rnavmed.v9n2a3Keywords:
Tuberculoma, Extrapulmonary tuberculosis, HIV, Human Immunodeficiency VirusAbstract
Extrapulmonary tuberculosis with involvement of the central nervous system is rare in developing countries. Cerebral tuberculoma is a granulomatous inflammatory process, since on different occasions, it can present simulating malignant lesions or other infections.
Case: A 40-year-old female with a history of human immunodeficiency virus (HIV) infection, with a 9-month history of headache, neck pain, vomiting episodes, with a brain magnetic resonance imaging (MRI) report showing evidence of a right frontal lesion, with hemosiderin ring and vasogenic edema.
Given the high suspicion of primary lymphoma, a biopsy was requested, with a report of multiple fragments of brain parenchyma with reactive gliosis, and moderate lymphocytic infiltrates with the presence of necrotizing granulomas. Given this finding, it was considered that the patient had extrapulmonary tuberculosis, so antituberculosis treatment was started with tetraconjugate, with subsequent medical improvement and clinical and imaging remission.
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