From the Department of Neurology (J.L., J.P.-K., L.A.), University of Southern California, Keck School of Medicine, Los Angeles; Department of Neurology (S.S.Z.), University of California San Francisco; Department of Neurosciences (J.G.), University of California San Diego; and Department of Neurology and Neurosurgery (S.D.N.), Johns Hopkins University, Baltimore, MD.
Neurol Neuroimmunol Neuroinflamm. 2024 Jan;11(1):e200184. doi: 10.1212/NXI.0000000000200184. Epub 2023 Dec 20.
Distinguishing granulomatous diseases remains diagnostically challenging. Clinical phenotypes and neuroimaging findings resemble many infectious and noninfectious disorders. We describe a Hispanic/Latino man diagnosed with tuberculous meningitis who deteriorated neurologically after treatments. Additional workup revealed a pathology more consistent with neurosarcoidosis. Care access delays and social circumstances likely complicated his diagnosis.
鉴别肉芽肿性疾病仍然具有诊断挑战性。临床表型和神经影像学表现类似于许多感染性和非感染性疾病。我们描述了一名被诊断为结核性脑膜炎的西班牙裔/拉丁裔男子，在治疗后神经功能恶化。进一步的检查结果显示，其病理学表现更符合神经结节病。医疗服务获取延迟和社会环境可能使他的诊断变得复杂。
