Caraffa E, Russo G, Vita S, Lichtner M, Massetti AP, Mastroianni CM, Vullo V, Ciardi MR, Ajassa C. Intracranial tuberculous mass lesions treated with thalidomide in an immunocompetent child from a low tuberculosis endemic country: A case report.
Medicine (Baltimore) 2018;
97:e11186. [PMID:
30024502 PMCID:
PMC6086519 DOI:
10.1097/md.0000000000011186]
[Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/18/2018] [Accepted: 05/29/2018] [Indexed: 11/25/2022] Open
Abstract
RATIONALE
Tuberculous meningitis is a highly morbid, often fatal disease.
PATIENT CONCERN
We describe a case of an Italian child. DIAGNOSES:: we diagnosed early a Tuberculous meningitis complicated by the occurrence of hydrocephalus, stroke, and paradoxical reaction with brain pseudo-abscesses.
INTERVENTIONS
The child started readily a specific therapy associated with steroids and thalidomide was introduced few month later.
OUTCOMES
the patient had a favorable outcome without neurologic sequelae.
LESSONS
Despite the prompt specific anti-tubercular and adjuvant corticosteroid therapies, only the addition of thalidomide to the treatment allow to a favorable clinical outcome.
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