Disseminated tuberculosis presenting as tuberculosis meningitis and Pott's disease in one-year old : a case report

Publication Date

2018

Document Type

Research

Abstract

This is a case of a 1 year old female who presented with decreased sensorium. Patient had a history of fever, afebrile seizures, vomiting, and weakness of the right side of the body. She also presented with a gibbus deformity at the lumbar area. Patient could not ambulate. No BCG vaccination was noted. Spinal MRI showed Pott's Disease, and Cranial CT Scan showed an infectious encephalitis which may related to a tuberculosis or a fungal etiology. Gastric aspirate Gene Xpert revealed presence of M. tuberculosis. the final diagnosis is disseminated tuberculosis. Patient was given Rifampicin, Isoniazid, Pyrazinamide, and Ethambutol for treatment, to which Rifampicin and Isoniazid were to be taken for one year, while Pyrazinamide and Ethambutol are to be taken for tow months. Orthopedic follow up was also necessary to be able to address her spinal deformity which can affect the overall prognosis of the case.

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