Brain tuberculomas simulating metastatic disease
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tuberculoma
tuberculous meningitis
tuberculosis in immunocompetent patient
Abstract
Tuberculosis is one of the leading causes of death due to an infectious agent in the world, the central nervous system condition represents approximately 1% of all extrapulmonary cases. It causes more than two million deaths annually and 98% of these cases occur in developing countries. Its presentation can be atypical, which leads to late and sometimes erroneous diagnosis, mainly in immunocompetent patients, without any other apparent risk factor, where the diagnostic delay is four times greater than in immunocompromised patients. The diagnosis is the high clinical suspicion, supported by the study of cerebrospinal fluid and imaging, an early and timely treatment contributes significantly to the evolution of the patient.
Below is the case of a 42-year-old female immunocompetent patient who had an insidious presentation, which delayed her diagnosis
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