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Case Reports
. 2014 Jul;7(7):e11252.
doi: 10.5812/jjm.11252. Epub 2014 Jul 1.

Brain tuberculomas: a case report

Maryam Saleh  1 , Ali Asghar Saeedi  2 , Ali Ali Pooran  3
Affiliations
Case Reports

Brain tuberculomas: a case report

Maryam Saleh et al. Jundishapur J Microbiol. 2014 Jul.

Abstract

Introduction: An unusual incidence of tuberculosis in different parts of the body is called tuberculomas. The rate of brain tuberculosis is rare.

Case presentation: The following case of tuberculamas of the brain, presented by enhancing rings of meninges, is reported because of its rarity. It was a case of brain tuberculomas in a 15-year-old girl with primary symptoms of headache and general weakness, and no signs of primary pulmonary infection.

Discussion: The subject underwent computerized tomography (CT) and magnetic resonance imaging (MRI) of the brain. Microbiological tests (acid fast bacilli smear-AFB, and culture of biopsy specimen) were applied subsequently. According to the results, the problem was diagnosed as brain tuberculomas. After operation she was completely treated with anti-TB drugs. Although brain tuberculosis is rare, it was diagnosed on the basis of histopathology and the patient's successful response to anti-tuberculous drug treatment.

Keywords: Brain; Mycobacterium tuberculosis; Tuberculoma.

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Figures

Figure 1.
Figure 1.. The magnetic resonance image of the brain showing enhancing nodules in deep white matter and subcortical area in the right fronto-parieto-temporal region and also left cerebellar hemisphere showing foci of hemorrhage with surrounding edema and mass effect and irregularity ring enhancement
Figure 2.
Figure 2.. Brain MRI illustrates a separate circular mass at the top of frontal region with hemorrhage in the right fronto-parietal and left cerebellar hemisphere and air fluid level in right maxillary sinus
See this image and copyright information in PMC

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