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616.832.9-002.5-07 (1) |
Neurology. Neuropathology. Nervous system (971) |
SM ISO690:2012 CĂLCÂI, Cornelia, HADJIU, Svetlana, SPRINCEAN, Mariana, MOLDOVANU, Maria, REVENCO, Ninel. Meningita tuberculoasă – dificultăți de diagnostic și particularități evolutive. In: Buletin de Perinatologie, 2019, nr. 3(84), pp. 24-31. ISSN 1810-5289. |
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Buletin de Perinatologie | ||||||
Numărul 3(84) / 2019 / ISSN 1810-5289 | ||||||
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CZU: 616.832.9-002.5-07 | ||||||
Pag. 24-31 | ||||||
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Background. Tuberculous meningitis (MTB) is a subacute meningeal disorder, which is a major problem among children, especially in countries with a precarious economic level. It is often associated with disability and death. The aim of this paper is to present diagnostic criteria and evolutionary particularities of tuberculous meningitis in the pediatric population starting from the description of two clinical cases. Material and methods: Two clinical cases of positive tuberculous meningitis in one case and with death are reported in the second case. The patients were hospitalized in the neurology section of the Institute of Mother and Child (IMMIC) in 2019, with the initial diagnosis of undetermined meningoencephalitis of an etiology complicated with occlusive hydrocephalus. Results: Cerebral CT scan results confirmed the early association of occlusive hydrocephalus in both cases, and pulmonary CT – multiple calcifications in the lymph nodes, suggesting the diagnosis of tuberculous meningitis confirmed by the GeneXpert technique. Conclusions: Tuberculous meningitis is the most common form of central nervous system tuberculosis. The cardinal symptoms of tuberculous meningitis are fever and headache, which also occurs in other neuroinfections, which requires maximum vigilance from physicians in establishing the correct diagnosis. |
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Cuvinte-cheie Meningitis, tuberculosis, tuberculous meningitis, менингит, туберкулез, туберкулёзный менингит |
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