Abstract
A case report on a successful management of an eight months old boy with Tubercular Meningitis with Multiple Tuberculoma in Brain with Obstructive Hydrocephalus with Left sided Lower motor neuron type Facial Palsy with Right Sided Hemiparesis. Tuberculous meningitis (TBM) is Mycobacterium tuberculosis infection of the Brain Meninges.1,2 In TBM inflammation occur mainly in the base of the brain and when the inflammation affect the brain stem subarachnoid area, cranial nerve roots then symptoms may occur like space-occupying lesions.3,4 TBM is more common in children than in adults, especially children aged 0-5 years.5 In children central nervous system tuberculosis usually presents as tubercular meningitis, post-tubercular meningitis hydrocephalus, and rarely a space-occupying lesions known as tuberculomas.6 TBM accounts for 2–5% of all active cases of Mycobacterium tuberculosis.7 Pulmonary infection coexists in 25–83% of TBM.8-10 Predominately primary CNS infection is found in children and leptomeningeal infection presents as meningitis, cranial nerve (CN) palsies (most commonly CN 2, 3, 4, and 7), and communicating hydrocephalus.11
 Northern International Medical College Journal Vol.10 (2) Jan 2019: 400-401
Highlights
A case report on a successful management of an eight months old boy with Tubercular Meningitis with Multiple Tuberculoma in Brain with Obstructive Hydrocephalus with Left sided Lower motor neuron type Facial Palsy with Right Sided Hemiparesis
According to the statement of mother the child had previous history of high-grade intermittent fever about two months back and single episode of generalized tonic clonic seizure, lasted for 3-4 minutes on the 2nd day of fever. He was admitted into local Chandpur Sadar Hospital and was diagnosed as a case of meningitis, and was treated there for ten days with Injection Ceftriaxone
There is no history of similar types of illness in the family or in the locality; he had no history of contact with TB patients
Summary
A case report on a successful management of an eight months old boy with Tubercular Meningitis with Multiple Tuberculoma in Brain with Obstructive Hydrocephalus with Left sided Lower motor neuron type Facial Palsy with Right Sided Hemiparesis. Northern International Medical College Journal Vol 10 No 2 January 2019, Page 400-401 1 Dr Rowshan Jahan Akhter Assistant Professor Dept. Of General Paediatrics Dhaka Shishu (Children) Hospital
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