Isolated Tuberculous (And Klebsiella) Brain Abscesses In An Immunocompetent Nigerian Adult With Good Outcome

Abstract

Tuberculous brain abscesses are uncommon and often found in immunocompromised patients. The first tuberculous brain abscess in 500 consecutive CT brain scans in our unit was in an immunocompetent, hypertensive Nigerian adult being managed initially as a case of hypertensive cerebrovascular disease, but later diagnosed and managed as mixed tuberculous and klebsiella brain abscesses with good outcome is discussed. The difficulties often encountered in making an accurate diagnosis, on which the management and outcome are dependent are highlighted with a review of literature.