Subedi Ram Chandra, Acharya Subi, Adhikari Ayush, Banmala Sabin, Shiwakoti Tibbin Kumar, Karki Pearlbiga, Gurung Shekhar, Bhatta Bhuwan, Kharbuja Naresh, Paudel Raju
Department of Neurology Grande International Hospital Kathmandu Nepal.
Department of Pediatrics Patan Academy of Health Sciences Lalitpur Nepal.
Clin Case Rep. 2023 Aug 2;11(8):e7754. doi: 10.1002/ccr3.7754. eCollection 2023 Aug.
Disseminated tuberculosis (TB) resulting from lymphohematogenous dissemination of during primary infection or reactivation of latent disease is rare among young immunocompetent patients. Central nervous system TB (CNS TB) is one of the most challenging clinical diagnoses with high fatality. Here, we describe a young immunocompetent female with no known comorbidities initially presented with military pulmonary TB and later developed CNS TB. This presentation of disseminated TB in immunocompetent patient warrant early diagnosis and treatment.
在原发性感染期间或潜伏疾病再激活时通过淋巴血行播散导致的播散性结核病（TB）在年轻免疫功能正常的患者中很少见。中枢神经系统结核病（CNS TB）是最具挑战性的临床诊断之一，病死率很高。在此，我们描述了一名无已知合并症的年轻免疫功能正常女性，最初表现为粟粒性肺结核，后来发展为中枢神经系统结核病。免疫功能正常患者中这种播散性结核病的表现需要早期诊断和治疗。
