Related Experiment Video
Updated: Jan 31, 2026
03:37
Author Spotlight: Enhancing Cerebral Ischemia Research with a Simplified Rat Model
Published on: July 5, 2024
1.1K
Tuberculous Meningitis, Vasculitis, and Pericarditis presented by deep coma
1Sultan Abdulwadoud Alshoabi, MD. Department of Diagnostic Radiologic Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunwwarah, Saudi Arabia.
Pakistan Journal of Medical Sciences
|December 19, 2018
Summary
Tuberculous meningitis (TBM) can present with severe neurological symptoms like coma. Prompt diagnosis and treatment with anti-tuberculous drugs are crucial for recovery and preventing long-term disability.
Area of Science:
- Neurology
- Infectious Diseases
- Radiology
Background:
- Tuberculous meningitis (TBM) is a severe form of extrapulmonary tuberculosis.
- Early diagnosis and treatment are critical for patient outcomes.
Observation:
- A 32-year-old male presented with coma, fever, weight loss, and altered behavior.
- Clinical findings included high-grade fever and coma; imaging revealed cardiomegaly, pericarditis, meningeal enhancement, cerebral granulomas, and ischemic lesions.
Findings:
- Cerebrospinal fluid culture confirmed Tuberculous meningitis.
- The patient showed significant improvement with anti-tuberculous therapy, corticosteroids, and supportive care.
Implications:
- This case highlights the importance of considering TBM in patients with unexplained neurological deterioration.
- Aggressive management can lead to full recovery without neurological deficits.
More Related Videos
Related Concept Videos
01:22Pericarditis I: Introduction
396
Pericarditis is defined as the inflammation of the pericardium, the thin, sac-like membrane surrounding the heart. This condition can cause significant chest pain and other symptoms, often necessitating medical intervention. The pericardium has two layers: the inner visceral layer and the outer parietal layer, separated by a small amount of fluid that reduces friction during heartbeats.Types of PericarditisPericarditis can be classified into several types based on the duration and nature of the...
396
01:19Cranial and Spinal Meninges
4.0K
The cranial and spinal meninges are complex protective structures surrounding the central nervous system (CNS), consisting of the brain and spinal cord. These meninges consist of the dura mater, the arachnoid mater, and the pia mater. They protect the CNS, provide structural support, and aid in circulating cerebrospinal fluid (CSF).
Cranial Meninges
These meningeal layers cover the cranium. The dura mater is the outermost layer of cranial meninges. It is a thick and durable membrane of dense...
Cranial Meninges
These meningeal layers cover the cranium. The dura mater is the outermost layer of cranial meninges. It is a thick and durable membrane of dense...
4.0K
01:17Pericarditis III: Medical Management
357
The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
357
01:25Pericarditis IV: Nursing Management
364
Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
364
01:19Pericarditis II: Clinical Features and Diagnostic Tests
325
Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
325
01:17What is an Ecosystem?
47.0K
Overview
47.0K