[Middle cerebral artery ischemic stroke presentation of miliar tuberculosis]
B Zalba Etayo1, B Obón Azuara, I Gutiérrez Cía
1Servicio de Medicina Intensiva, Hospital Clínico Universitario, Zaragoza, Spain. bzalba2000@yahoo.es
Anales De Medicina Interna (Madrid, Spain : 1984)
|July 8, 2008
Summary
Central nervous system tuberculosis is rare in non-HIV patients and often fatal. This case highlights a middle cerebral artery ischemic stroke as the initial symptom of miliary tuberculosis.
Area of Science:
- Neurology
- Infectious Diseases
- Tuberculosis Research
Background:
- Extrapulmonary tuberculosis affecting the central nervous system (CNS) is uncommon, particularly in individuals without HIV infection.
- CNS tuberculosis is associated with significant morbidity and mortality, posing diagnostic and therapeutic challenges.
Observation:
- This report details a rare case where the initial clinical presentation of miliary tuberculosis was a middle cerebral artery ischemic stroke.
- The patient, who was not HIV-infected, experienced a stroke as the sole presenting symptom.
Findings:
- The ischemic stroke was directly linked to miliary tuberculosis, underscoring the diverse neurological manifestations of the disease.
- Diagnosis required a high index of suspicion given the unusual presentation in a non-HIV patient.
Implications:
- This case emphasizes the need to consider tuberculosis in the differential diagnosis of ischemic stroke, even in non-HIV patients.
- Early recognition and treatment of CNS tuberculosis are crucial for improving patient outcomes and reducing mortality rates.
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