Abstract

Cerebral Tuberculoma in Renal Transplant Recipient treated in a Tertiary Care Hospital of Brazil - Case Report and Literature Review

Highlights

  • In the late nineteenth and early decades of the twentieth century, the cerebral tuberculoma had high incidence among intracranial expansive lesions, even in developed countries

  • Central nervous system tuberculosis can be classified into three clinical categories: tuberculous meningoencephalitis

  • The authors report the case of a young immunosuppressed patient, who developed probable pulmonary and lymphonode TB after 4 years of renal transplant and was submitted to empiric therapy, due to the high prevalence of tuberculosis in Brazil and due to chest tomography alterations suggestive of tuberculosis

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Summary

Introduction

In the late nineteenth and early decades of the twentieth century, the cerebral tuberculoma had high incidence among intracranial expansive lesions, even in developed countries. This incidence of cerebral tuberculomas decreased from 30 to 3% in the mid-twentieth century due to the introduction of anti-tuberculosis chemotherapy [1]. The initial tuberculosis lesions may develop in the brain parenchyma or the meninges, and are known as Rich foci (caseous tubercles in the central nervous system where the bacilli could remain alive) [3]. Intracranial tuberculomas are found in 0.5-5% of patients with tuberculosis and in developing countries, this percentage is higher, representing 15 to 20% of all brain tumors [5]

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