Cerebral Toxoplasmosis Combined with Disseminated Tuberculosis.
10.3340/jkns.2012.51.5.316
- Author:
Eui Ho HWANG
1
;
Poong Gi AHN
;
Dong Min LEE
;
Hyeok Su KIM
Author Information
1. Department of Neurosurgery, Dae-Ah Hando General Hospital, Ansan, Korea. ehhwang38@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Cerebral toxoplasmosis;
Tuberculosis;
Toxoplasmic encephalitis;
Abdominal abscess
- MeSH:
Abdomen;
Abdominal Abscess;
Abdominal Pain;
Abscess;
Brain;
Fever;
Humans;
Immunoglobulins;
Legal Guardians;
Magnetic Resonance Imaging;
Medical History Taking;
Necrosis;
Thorax;
Toxoplasmosis;
Toxoplasmosis, Cerebral;
Tuberculosis;
Young Adult
- From:Journal of Korean Neurosurgical Society
2012;51(5):316-319
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 24-year-old man presented with mental change, fever, abdominal pain, tenderness and palpable mass on the lower abdomen. He was a non-Korean engineer and did not accompany a legal guardian, so medical history taking was difficult due to his mental status. Brain magnetic resonance imaging showed multiple rim-enhanced lesions of the brain, and abdominal computed tomography showed huge paraspinal abscess. Chest X-ray and computed tomography showed poorly defined nodular opacities. We initially thought that this patient was infected with toxoplasmosis with typical cerebral image finding and immunoglobulin laboratory finding of cerebrospinal fluid and serum study. The abdominal abscess was confirmed as tuberculosis through the pathologic finding of caseous necrosis. We used anti-tuberculosis medication and anti-toxoplasmosis medication for almost 4 months, and then his clinical state and radiological findings were considerably improved.
