Wong G W, Oppenheimer S J, Poon W, Leung R
Department of Paediatrics, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, NT.
J Trop Med Hyg. 1994 Aug;97(4):236-8.
A 3 1/2-year-old boy with tuberculous meningitis is described. He developed hydrocephalus and subsequently an intracranial tuberculoma while receiving appropriate antituberculous therapy. Such a paradoxical response is thought to be due to a hypersensitivity reaction to the infection during antituberculous therapy. Both hydrocephalus and tuberculomata should be looked for if any patient develops new neurological signs or symptoms during treatment of tuberculous meningitis.
本文描述了一名3岁半患有结核性脑膜炎的男孩。他在接受适当的抗结核治疗时出现了脑积水，随后又出现了颅内结核瘤。这种矛盾反应被认为是由于抗结核治疗期间对感染的超敏反应所致。如果任何患者在结核性脑膜炎治疗期间出现新的神经体征或症状，都应警惕脑积水和结核瘤的发生。
