Primary tuberculous pyogenic ventriculitis in an immunocompetent patient: A case report

Area of Science:

• Neurology
• Infectious Diseases
• Immunology

Background:

• Tuberculosis (TB) affecting the central nervous system (CNS) is common.
• Tuberculous pyogenic ventriculitis is a rare and severe manifestation of intracranial TB.
• Untreated tuberculous pyogenic ventriculitis can be devastating, even in immunocompetent patients.

Observation:

• A case of a 43-year-old male patient with tuberculous pyogenic ventriculitis is presented.
• The patient presented with symptoms including meningeal syndrome and loss of consciousness.
• Successful treatment outcomes were achieved for this patient.

Findings:

• Tuberculous pyogenic ventriculitis is an uncommon form of intraventricular tuberculosis.
• Diagnosis relies heavily on biological markers, despite advancements in neuroimaging.
• The case highlights the possibility of successful therapeutic interventions.

Implications:

• This case underscores the importance of considering rare tuberculous infections of the CNS.
• It emphasizes the need for timely and accurate diagnosis, particularly biological confirmation.
• Successful treatment suggests that even severe presentations of tuberculous pyogenic ventriculitis can be managed effectively.