E-ISSN 2534-9821
 
2023, Vol: 7, Issue: 6
7 / 6Current Issue Online FirstArchiveAims and ScopeAbstracting & IndexingMost Accessed ArticlesMost Downloaded ArticlesMost Cited Articles
Required files to be uploaded

Copyright Transfer Form

Case Report

Online Publishing Date:
27 / 02 / 2018

 


Tuberculous meningoencephalitis in a patient with human immunodeficiency virus infection

Marta Valentim, Yahia Abuowda, José Ramalho, Cristina Santos.


Abstract
Background: Tuberculous meningoencephalitis is an infrequent disease. The diagnosis given the poor specificity of complementary tests is very difficult, as well as the treatment in patients infected with the human immunodeficiency virus doing antiretrovirals.
Case Summary: We present the case of a 33-year-old man with history of intravenous drug user, hepatitis B and HIV coinfection, lymph node tuberculosis and meningitis due to Cryptococcus Neoformans; was admitted to the Emergency Department due to altered state of consciousness and neurological focality, with a week of evolution. In the diagnostic process, several etiological hypotheses were discarded and several lines of empirical treatment were instituted, until some evidence was obtained. Multiple imaging tests were performed and the progression of the CT scan was the one that ended up confirming the diagnosis.
Conclusion: Despite the great advances in medicine, Tuberculosis seems to be the heel of Achilles, where, having the certainty of the diagnosis remains, as in the case presented, tremendously difficult. We have laboratory, microbiological, imaging and even biopsy exams, and sometimes it is not enough to achieve the diagnosis with evidence. In the case presented, the only evidence was obtained due to the evolution of the lesions, which should never be a limiting factor for the initiation of treatment, due to the serious consequences that the non-implementation of treatment may have.

Key words: Central Nervous System Infections; Meningoencephalitis; Tuberculosis; HIV


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Marta Valentim
Articles by Yahia Abuowda
Articles by José Ramalho
Articles by Cristina Santos
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Marta Valentim, Yahia Abuowda, José Ramalho, Cristina Santos. Tuberculous meningoencephalitis in a patient with human immunodeficiency virus infection. Int J Med Rev Case Rep. 2018; 2(1): 7-11. doi:10.5455/IJMRCR.Tuberculous-meningoencephalitis

Web Style

Marta Valentim, Yahia Abuowda, José Ramalho, Cristina Santos. Tuberculous meningoencephalitis in a patient with human immunodeficiency virus infection. https://www.mdpub.net/?mno=287009 [Access: April 04, 2024]. doi:10.5455/IJMRCR.Tuberculous-meningoencephalitis

AMA (American Medical Association) Style

Marta Valentim, Yahia Abuowda, José Ramalho, Cristina Santos. Tuberculous meningoencephalitis in a patient with human immunodeficiency virus infection. Int J Med Rev Case Rep. 2018; 2(1): 7-11. doi:10.5455/IJMRCR.Tuberculous-meningoencephalitis


Vancouver/ICMJE Style

Marta Valentim, Yahia Abuowda, José Ramalho, Cristina Santos. Tuberculous meningoencephalitis in a patient with human immunodeficiency virus infection. Int J Med Rev Case Rep. (2018), [cited April 04, 2024]; 2(1): 7-11. doi:10.5455/IJMRCR.Tuberculous-meningoencephalitis


Harvard Style

Marta Valentim, Yahia Abuowda, José Ramalho, Cristina Santos (2018) Tuberculous meningoencephalitis in a patient with human immunodeficiency virus infection. Int J Med Rev Case Rep, 2 (1), 7-11. doi:10.5455/IJMRCR.Tuberculous-meningoencephalitis


Turabian Style

Marta Valentim, Yahia Abuowda, José Ramalho, Cristina Santos. 2018. Tuberculous meningoencephalitis in a patient with human immunodeficiency virus infection. International Journal of Medical Reviews and Case Reports, 2 (1), 7-11. doi:10.5455/IJMRCR.Tuberculous-meningoencephalitis


Chicago Style

Marta Valentim, Yahia Abuowda, José Ramalho, Cristina Santos. "Tuberculous meningoencephalitis in a patient with human immunodeficiency virus infection." International Journal of Medical Reviews and Case Reports 2 (2018), 7-11. doi:10.5455/IJMRCR.Tuberculous-meningoencephalitis


MLA (The Modern Language Association) Style

Marta Valentim, Yahia Abuowda, José Ramalho, Cristina Santos. "Tuberculous meningoencephalitis in a patient with human immunodeficiency virus infection." International Journal of Medical Reviews and Case Reports 2.1 (2018), 7-11. Print. doi:10.5455/IJMRCR.Tuberculous-meningoencephalitis


APA (American Psychological Association) Style

Marta Valentim, Yahia Abuowda, José Ramalho, Cristina Santos (2018) Tuberculous meningoencephalitis in a patient with human immunodeficiency virus infection. International Journal of Medical Reviews and Case Reports, 2 (1), 7-11. doi:10.5455/IJMRCR.Tuberculous-meningoencephalitis


Author LoginReviewer LoginAbout PublisherEditorial PoliciesEditorial Review PolicyPeer Review PolicyEditorial & Peer Review ProcessAuthor's Rights and ObligationsPublication Ethics and Publication Malpractice StatementConflict of Interest PolicyPlagiarism PolicyProtection of Research Participants (Statement On Human And Animal Rights)Privacy PolicyCorrections, Retractions & Expressions of ConcernSelf-Archiving PoliciesDigital Archiving & Preservation PoliciesStatement of Informed ConsentAdvertising PolicyTerms of UseLicense InformationCopyright Information

About International Journal of Medical Reviews and Case Reports

International Journal of Medical Reviews and Case Reports  (Int J Med Rev Case Rep)ISSN: 2534-9821The International Journal of Medical Reviews and Ca ... Read more.



For best results, please use Internet Explorer or Google Chrome.

Contact Information


Any correspondence, queries or additional requests for information on the manuscript submission process should be sent to the International Journal of Medical Reviews and Case Reports editorial office as follows:

Bulgarian Association of Young Surgeons (BAYS);

National Center of Public Health and Analyses (NCPHA), floor 2, office № 31,  Sofia 1431, Bulgaria.

inkov@journalmedica.com

Financial department is managed by International Sci Ink Press. 

It is a company registered in Bulgaria with registered no. 205414288 and registered address at 57 Antim I str., Vazrazhdane, Sofia, 1303, Bulgaria.

Tel: +359883427500