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Case Reports
. 2020 Oct 7;7(10):ofaa475.
doi: 10.1093/ofid/ofaa475. eCollection 2020 Oct.

Disseminated Mycobacterium bovis Infection Complicated by Meningitis and Stroke: A Case Report

Affiliations
Case Reports

Disseminated Mycobacterium bovis Infection Complicated by Meningitis and Stroke: A Case Report

Katherine M Clifford et al. Open Forum Infect Dis. .

Abstract

We describe a case of a 19-year-old female presenting with Mycobacterium bovis meningitis, a rarely encountered infection. We discuss the use of pyrosequencing to aid in prompt diagnosis of M. bovis infection, as well as treatment strategies and challenges given the organism's intrinsic resistance to pyrazinamide.

Keywords: bovis; meningitis; tuberculosis.

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Figures

Figure 1.
Figure 1.
Contrast-enhanced computed tomography imaging on presentation demonstrating tuberculomas (arrows) in the left frontal lobe and left cerebellar vermis.
Figure 2.
Figure 2.
Diffusion-weighted image (DWI) magnetic resonance imaging sequence demonstrating acute ischemic infarct affecting the right basal ganglia. Areas of restricted diffusion were visualized in the right corona radiata, posterior limb of the internal capsule, and putamen, as well as in the left anterior centrum semiovale.

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