Original article | Volume 32, Article 126, 15 Mar 2019 | 10.11604/pamj.2019.32.126.14385

TB or not TB! Thatís the question

Ahmed Nugud, Assmaa Nugud

Corresponding author: Ahmed Nugud, Aljalila Childrenís Hospital, Al Jaddaf, Dubai, United Arab Emirates

Received: 12 Nov 2017 - Accepted: 19 Nov 2017 - Published: 15 Mar 2019

Domain: Infectious disease,Pulmonology

Keywords: Infectious disease, meningitis, TB

©Ahmed Nugud et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Ahmed Nugud et al. TB or not TB! Thatís the question. Pan African Medical Journal. 2019;32:126. [doi: 10.11604/pamj.2019.32.126.14385]

Available online at: https://www.panafrican-med-journal.com/content/article/32/126/full

Home | Volume 32 | Article number 126

Original article

TB or not TB! Thatís the question

TB or not TB! Thatís the question

Ahmed Nugud1,&, Assmaa Nugud2

 

1Aljalila Childrenís Hospital, Al Jaddaf, Dubai, United Arab Emirates, 2RAK Medical & Health Science University, Al Juwais, Al Qusaidat, Ras Al Khaimah, United Arab Emirates

 

 

&Corresponding author
Ahmed Nugud, Aljalila Childrenís Hospital, Al Jaddaf, Dubai, United Arab Emirates

 

 

Image in medicine    Down

Twenty seven years old lady presented to the emergency department accompanied by family members with complaint of fluctuating consciousness and fever for the past three days. Upon further questioning the patient has been complaining from headache for two months, decreased appetite for the past month and had a travel history to Ethiopia five months ago. Family members were not sure about any history of weight loss, the patient took a one week course of antibiotics for tooth infection two weeks ago. Physical examination showed an ill looking, vitally stable lady on chest auscultation diffuse crackles heard bilaterally. Septic work up including CSF sample was ordered to rule-out meningitis chest X-ray was also ordered. Chest X ray result showed a clinical image specious of milliary TB (A) and results were confirmed by a positive acid fast stain of the CSF. Patient was taken to isolation and proper management was started with a final diagnosis of TB meningitis. A follow-up MRI showed few hyper-intense foci in deep white matter of left frontal lobe (B).

 

 

Figure 1: (A) chest X-ray showing bilateral hilar opacities, with suspicious milliary infiltrates; (B) brain MRI showing hyper-intense foci in left frontal lobe brain matter

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Original article

TB or not TB! Thatís the question

Original article

TB or not TB! Thatís the question

Original article

TB or not TB! Thatís the question

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Key words

Infectious disease

Meningitis

TB

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TB or not TB! Thatís the question