Abstract

Key Clinical MessageCentral nervous system (CNS) tuberculosis should be considered in patients from endemic nations with worsening neurological symptoms. If imaging reveals possible CNS tuberculomas, potentially life‐threatening lesions should be excised and analyzed. When disease is less severe, other tissues possibly infected should be biopsied first for diagnosis to avoid neurosurgery.

Highlights

  • Central nervous system (CNS) tuberculosis (TB) is a potentially devastating disease and may require rapid medical or surgical intervention

  • CNS TB with focal neurological deficits is suggestive of a tuberculoma or abscess; nonfocal neurological deficits, such as encephalopathy, are more suggestive of TB meningitis

  • The medical treatment for CNS TB has remained largely unchanged for decades [1], and the antituberculosis therapy (ATT) regimens for tuberculomas and TB meningitis are the same [2]

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Summary

CASE REPORT

Central nervous system Tuberculosis in a man from Cambodia with worsening headaches Daniel S. Funding information No sources of funding were declared for this study

Key Clinical Message
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