What is it about?
Tuberculosis remains endemic in India, and its manifestation in the central nervous system (CNS) poses significant challenges in diagnosis and management. We present a rare case of a 65-year-old male with tubercular meningitis exhibiting atypical features of acute disseminated encephalomyelitis (ADEM).
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Why is it important?
The patient presented with a month-long history of fever, severe headache, altered sensorium, and neurological signs including brisk reflexes, neck rigidity, and bilateral motor weakness. Initial investigations revealed elevated inflammatory markers and abnormal cerebrospinal fluid (CSF) findings consistent with tubercular meningitis.
Perspectives
Tuberculosis is endemic in India with an incidence of 210 cases per 100,000 people [1]. Among all cases of TB, 1% occurs in the CNS, and 6% of total extrapulmonary TB in immunocompetent adults affects the CNS [2]. Tuberculosis of the central nervous system (CNS) typically manifests as meningitis and is known to be associated with significant morbidity and mortality [3].
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This page is a summary of: Tubercular Meningitis Mimicking Acute Disseminated Encephalomyelitis (ADEM)- A Case Report, Journal of Case Reports and Medical History, January 2024, Acquire Publications LLC,
DOI: 10.54289/jcrmh2400108.
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