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Case Report. Clinical experience in a 46-year-old male patient with tuberculous meningitis

By
María José Romero Ochoa ,
María José Romero Ochoa

Residente Asistencial en Clínica Aguilar, Machala, Ecuador

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Hanny Alejandra Corvalan Reinthaller ,
Hanny Alejandra Corvalan Reinthaller

Universidad Tecnológica Equinoccial, Quito, Ecuador

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Marlene Elizabeth Sánchez Mata ,
Marlene Elizabeth Sánchez Mata

Docente de la Universidad Estatal de Milagro, Guayaquil, Ecuador

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Allison Paulette Sánchez Ocampo ,
Allison Paulette Sánchez Ocampo

Residente Asistencial en Clínica Aguilar, Machala, Ecuador

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Belén Estefanía Sánchez Guevara ,
Belén Estefanía Sánchez Guevara

Universidad Técnica de Ambato, Ambato, Ecuador

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Patricia Estefanía Vásconez Espín ,
Patricia Estefanía Vásconez Espín

Universidad Tecnica de Ambato, Ambato, Ecuador

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Marina Alexandra Vilema Condor ,
Marina Alexandra Vilema Condor

Hospital General Provincial Pablo Arturo Suarez, Quito, Ecuador

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Abstract

Introduction: Tuberculosis (TB) is the most common cause of death from a single infectious agent. Tuberculosis is primarily a disease of the lungs, but it can also affect other parts of the body and cause extrapulmonary tuberculosis (EPTB). Approximately 5% of all cases of EPTB are tuberculous meningitis (TMB), caused by the spread of Mycobacterium tuberculosis in the meninges and cerebrospinal fluid (CSF). MTB is the most devastating form of tuberculosis and continues to cause high morbidity and mortality, with approximately 50% of patients dying or suffering neurological sequelae and complications. The aim of the present study is to learn more about the etiologic, clinical and diagnostic presentation of this pathology. Clinical Case: We present a 46-year-old male patient who reports productive cough of approximately 9 months of evolution with presence of diaphoresis, no evidence of weight loss, 15 days ago the patient reported cough accompanied by hemoptysis, reason for which he went to the nearest health center. His evolution was torpid and his tuberculosis was complicated to tuberculous meningitis where compatible signs and symptoms were evidenced, and immediate treatment was started with isoniazid, rifampicin, pyrazinamide, ethambutol and later four months with isoniazid and rifampicin. Conclusion: The rapid diagnosis of MTB requires an understanding and a joint analysis of the clinical, radiological and laboratory findings of our infected and uninfected patients and the evaluation of prognoses.

How to Cite

1.
Romero Ochoa MJ, Corvalan Reinthaller HA, Sánchez Mata ME, Sánchez Ocampo AP, Sánchez Guevara BE, Patricia Estefanía, Vilema Condor MA. Case Report. Clinical experience in a 46-year-old male patient with tuberculous meningitis. Salud, Ciencia y Tecnología [Internet]. 2024 May 19 [cited 2024 Jun. 20];4:1022. Available from: https://revista.saludcyt.ar/ojs/index.php/sct/article/view/1022

The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.

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