Related Experiment Video
Updated: Apr 9, 2026

Early Pathological and Magnetic Resonance Detection of Cerebral Injury Using a Rat Model of Neonatal Hypoxic Ischemic Encephalopathy
Published on: October 28, 2022
Infantile Tubercular Meningitis With Brain Infarct
Panagiotis Kratimenos1, Ioannis Koutroulis, Mike Fruscione
1From the *Department of Pediatrics, Drexel University College of Medicine, and St. Christopher's Hospital for Children, Philadelphia, PA; and †Department of Pediatrics, Drexel University College of Medicine, The Unterberg Children's Hospital at Monmouth Medical Center, Long Branch, NJ.
Tuberculosis can affect infants, causing serious neurological complications like meningitis and hydrocephalus. Early diagnosis and treatment are crucial for managing this severe pediatric infection.
Area of Science:
- Pediatrics
- Neurology
- Infectious Diseases
Background:
- Tuberculosis (TB) is a significant global health concern, particularly in developing regions.
- While TB primarily affects the lungs, it can manifest in extrapulmonary sites, including the central nervous system.
Observation:
- A 6-month-old infant presented with symptoms initially suggestive of pneumonia, followed by neurological deficits including facial asymmetry and limb weakness.
- The patient's mother and grandmother had a history of chronic cough, with the mother's chest radiograph showing signs consistent with pulmonary tuberculosis.
Findings:
- Cerebrospinal fluid analysis and clinical presentation strongly indicated tuberculous meningitis.
- Magnetic resonance imaging revealed findings consistent with a cerebrovascular event.
- Despite a 4-drug antituberculosis regimen and dexamethasone, the patient developed obstructive hydrocephalus.
Implications:
- This case highlights the importance of considering tuberculous meningitis in infants presenting with neurological symptoms, especially with a relevant family history of tuberculosis.
- Prompt diagnosis and comprehensive treatment are essential to prevent severe neurological sequelae such as hydrocephalus.
- Further research into the long-term neurological outcomes and management strategies for pediatric tuberculous meningitis is warranted.
Related Concept Videos
Pulmonary Tuberculosis II
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Viral Meningitis
Pulmonary Tuberculosis IV
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Pulmonary Tuberculosis III
The first classification is based on the development of the disease, and it includes the following categories:
Pulmonary Tuberculosis I
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...

