Hemiparesis in Pediatric Tuberculous Meningitis: A Case Report

Sylvia Cahyadi, Jeanette Marchi, Rina Amalia Caromina Saragih, Lesmana Syahrir

2019

Abstract

Tuberculous meningitis (TBM) can occur as the sole manifestation of tuberculosis (TB) or concurrent with pulmonary or other extrapulmonary sites of infection. It causes high mortality and morbidity. Patients with TBM develop typical symptoms and signs of meningitis. Cranial nerve palsies, hemiparesis, paraparesis, and seizures are common and should raise the possibility of MTB as the etiology of meningitis. We present a case of TBM in an 11-year-old who was admitted to High Care Unit Siloam Dhirga Surya Hospital, Medan, Indonesia with a decreased level of consciousness, sudden weakness of a right extremity, headache, nuchal rigidity, and history of fever and cough. Chest X-ray showed miliary TB and head CT scan showed hydrocephalus. Laboratory results were leukocytosis, hyponatremia, and positive TB IGRA. The patient was then treated with normal saline infusion, anti TB regimen, an antibiotic, and oral corticosteroid. With regular admission of the anti-tuberculosis drug, oral corticosteroid, and physiotherapist, the patient showed improvement in his motoric function. The clinical symptom of TBM may appear as hemiparesis without a seizure. Proper treatment of tuberculous meningitis may lead to a better outcome.

Paper Citation

in Harvard Style

Cahyadi S., Marchi J., Saragih R. and Syahrir L. (2019). Hemiparesis in Pediatric Tuberculous Meningitis: A Case Report.In Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI, ISBN 978-989-758-469-5, pages 177-179. DOI: 10.5220/0009862801770179

in Bibtex Style

@conference{ictromi19,
author={Sylvia Cahyadi and Jeanette Marchi and Rina Amalia Caromina Saragih and Lesmana Syahrir},
title={Hemiparesis in Pediatric Tuberculous Meningitis: A Case Report},
booktitle={Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI,},
year={2019},
pages={177-179},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0009862801770179},
isbn={978-989-758-469-5},
}

in EndNote Style

TY - CONF

JO - Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI,
TI - Hemiparesis in Pediatric Tuberculous Meningitis: A Case Report
SN - 978-989-758-469-5
AU - Cahyadi S.
AU - Marchi J.
AU - Saragih R.
AU - Syahrir L.
PY - 2019
SP - 177
EP - 179
DO - 10.5220/0009862801770179