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Tuberculous Meningitis: The Important Role of Imaging

dc.contributor.authorPereira Lemos, A
dc.contributor.authorDuarte Constante, A
dc.contributor.authorConceição, C
dc.contributor.authorVieira, JP
dc.contributor.authorBrito, MJ
dc.date.accessioned2022-11-15T15:09:54Z
dc.date.available2022-11-15T15:09:54Z
dc.date.issued2021
dc.description.abstractTuberculous meningitis is the most severe form of tuberculosis, and the diagnosis continues to be challenging for clinicians. Indeed, many cases of tuberculous meningitis cannot be confirmed based on clinical findings, and laboratory techniques are largely insensitive or slow. Clinical presentation can be nonspecific and suggest alternative conditions. The difficulty in diagnosis often leads to a delay in treatment and subsequent morbidity and mortality. We present the case of a 4-year-old Indian girl with meningitis that presented neurological deterioration while taking antibiotics. The epidemiological history and neuroimaging findings of incipient hydrocephalus, infarcts, and probable tuberculomas were essential to evoking the diagnosis of tuberculous meningitis. Diagnosis of tuberculous meningitis is difficult mainly in these rare cases with acute presentation that clinically present similarly to other forms of meningitis. The recognition of this entity involves a high index of suspicion based on the previous referred findings and is essential to prevent morbidity and mortality.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationPort J Pediatr 2021;52:293-8pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/4277
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSociedade Portuguesa de Pediatriapt_PT
dc.subjectAntitubercular Agents/therapeutic usept_PT
dc.subjectMycobacterium tuberculosispt_PT
dc.subjectTreatment Outcomept_PT
dc.subjectTuberculosis, Meningeal/diagnostic imagingpt_PT
dc.subjectTuberculosis, Meningeal/drug therapypt_PT
dc.subjectChild, Preschoolpt_PT
dc.subjectHDE INF PEDpt_PT
dc.subjectHDE NEU PEDpt_PT
dc.subjectHDE NRADpt_PT
dc.titleTuberculous Meningitis: The Important Role of Imagingpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage298pt_PT
oaire.citation.startPage293pt_PT
oaire.citation.volume52pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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