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Tuberculous meningitis

Shinnosuke Fukushima1,2, Kazuki Ocho1,3, Koji Fujita1,2

  • 1Department of General Medicine Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Okayama Japan.

Clinical Case Reports
|January 25, 2023
PubMed

Insights

Tuberculous meningitis can cause cerebral infarctions and poor neurological outcomes. Clinicians in aging populations should consider this diagnosis for patients with altered consciousness.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Public Health

Background:

  • Tuberculous meningitis (TBM) is a severe form of extrapulmonary tuberculosis.
  • It often presents with complications like cerebral infarctions and basal meningitis.
  • Neurological prognosis and mortality rates associated with TBM are generally poor.

Observation:

  • This case highlights a patient presenting with disturbed consciousness.
  • The diagnostic challenge of TBM in an aging population was noted.
  • Cerebral infarctions and basal meningitis were identified as potential complications.

Findings:

  • Tuberculous meningitis should be considered in the differential diagnosis for altered mental status.
  • The incidence of TBM may be underestimated in aging societies.
  • Prompt diagnosis and treatment are crucial for improving outcomes.

Implications:

  • Clinicians need heightened awareness of TBM in elderly patients with neurological symptoms.
  • Early consideration of TBM can lead to timely intervention and potentially better patient outcomes.
  • Further research into TBM presentation in aging demographics is warranted.
Keywords:
basal meningitiscerebral infarctionmiliary tuberculosistuberculous meningitis

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