Disseminated Tuberculosis with Neurotuberculosis Presenting as Status Epilepticus: A Case Report
Published: October 1, 2022 | DOI: https://doi.org/10.7860/JCDR/2022/52973.16852
Sourya Acharya, Samarth Shukla, Aditi Goyal, VS Irshad, Charan Bagga
1. Professor and Head, Department of Medicine, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India.
2. Professor, Department of Pathology, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India.
3. Resident, Department of Pathology, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India.
4. Resident, Department of Medicine, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India.
5. Resident, Department of Medicine, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India.
Correspondence
Sourya Acharya,
Doctors Qtrs, ABVR Hospital, DMIMSU Sawangi, Wardha, Maharashtra, India.
E-mail: souryaacharya74@gmail.com
Disseminated Tuberculosis (TB) results when the infection spreads though lymphohaematogenous route involving multiple organ systems. Irrespective of the availability of diagnostic modalities and treatment, it is usually diagnosed late increasing the mortality. Though, it usually occurs in immunocompromised patients, yet, incidence of disseminated TB is rising in immunocompetent subjects. This case report describes a 48-year-old male who presented to the Emergency Department (ED) with status epilepticus. Investigations revealed neurotuberculosis along with generalised tubercular lymphadenopathy involving cervical, axillary, mediastinal and abdominal lymphnodes. Diagnosis was confirmed after Cerebrospinal Fluid (CSF) and lymphnode biopsy. He was started on first line antitubercular drugs and tapering dose of tab. Prednisolone over one month. He was discharged after two weeks of hospitalisation. At 15 days follow-up the patient was asymptomatic.
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