Saleh Maryam, Saeedi Ali Asghar, Ali Pooran Ali
Department of Infectious Diseases, Sajad Hospital, Tehran University of Medical Sciences, Tehran, IR Iran ; Influenza Research Center, Pasteur Institute of Iran, Tehran, IR Iran.
Department of Infectious Diseases, Besat Hospital,Tehran University of Medical Sciences, Tehran, IR Iran.
Jundishapur J Microbiol. 2014 Jul;7(7):e11252. doi: 10.5812/jjm.11252. Epub 2014 Jul 1.
An unusual incidence of tuberculosis in different parts of the body is called tuberculomas. The rate of brain tuberculosis is rare.
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.
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.
身体不同部位出现异常的结核病发病率称为结核瘤。脑结核的发生率很低。
以下是一例脑结核瘤病例，因其罕见，现报告其脑膜强化环表现。这是一名15岁女孩的脑结核瘤病例，主要症状为头痛和全身乏力，无原发性肺部感染迹象。
该患者接受了脑部计算机断层扫描（CT）和磁共振成像（MRI）检查。随后进行了微生物学检测（抗酸杆菌涂片 - AFB以及活检标本培养）。根据检测结果，该问题被诊断为脑结核瘤。手术后，她接受了抗结核药物的全面治疗。尽管脑结核罕见，但根据组织病理学以及患者对抗结核药物治疗的成功反应得以确诊。
