TB Meningitis and TB Peritonitis: Abdominal Pseudocyst and VP-Shunt Link

TB meningitis (TBM) carries high morbidity and mortality and is a relatively common extrapulmonary TB in the third world countries. TBM as thick exudative disease manifests on MRI and CT as nodular basal leptomeningitis, hydrocephalus, basal infarcts, and tuberculomas. Hydrocephalus is treated with...

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Bibliographic Details
Published inCase reports in radiology Vol. 2019; no. 2019; pp. 1 - 6
Main Authors Zaman, Muhammad Badar, Ahmad, Anwar, ElGamal, Essameldin Ali, Ahmed, Manzoor
Format Journal Article
LanguageEnglish
Published Cairo, Egypt Hindawi Publishing Corporation 2019
Hindawi
John Wiley & Sons, Inc
Hindawi Limited
Subjects
Abdomen
Case Report
Case reports
Cysts
Development and progression
Drug resistance in microorganisms
Drug therapy
Endoscopy
Exudation
Family medical history
Medical imaging
Meningitis
Mortality
Neurology
Neurosurgery
NMR
Nuclear magnetic resonance
Patients
Pediatrics
Peritonitis
Surgery
Tuberculosis
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Summary:TB meningitis (TBM) carries high morbidity and mortality and is a relatively common extrapulmonary TB in the third world countries. TBM as thick exudative disease manifests on MRI and CT as nodular basal leptomeningitis, hydrocephalus, basal infarcts, and tuberculomas. Hydrocephalus is treated with ventriculoperitoneal shunting (VPS). Shunt malfunction and revision are common. We report a case of multidrug-resistant TBM with spinal involvement and dissemination of the disease via VPS causing TB peritonitis (TBP). TBP presented as a large abdominal pseudocyst around the catheter tip with shunt malfunction. There was no evidence for any other site of extra-CNS disease. TBP per se is relatively less common. This is the first case reporting VPS as a means of TB spread.
Bibliography:Academic Editor: Daniel P. Link
ISSN:2090-6862
2090-6870
DOI:10.1155/2019/4893547