Benzarti M, Jerray M, Souissi J, Hayouni A, Garrouche A, Klabi N
Service de Pneumo-Allergoloie, E.P.S. F. Hached, Sousse, Tunisie.
Int J Tuberc Lung Dis. 1997 Oct;1(5):477-81.
The frequency of tuberculous cerebral involvement associated with miliary tuberculosis is not well known; some authors have evaluated it at around 22%. We report the case of a 43-year-old man hospitalised in the pulmonology department with bacillary positive miliary tuberculosis. On the 26th day of antituberculosis treatment he complained of frontal headaches, with impairment in visual acuity. Examination of the optic fundus showed bilateral papillary oedema. Cerebral computed tomography showed diffuse rounded lesions with significant oedema. Antituberculosis chemotherapy was supplemented with steroid treatment. Clinical and radiological progress was good.
粟粒性肺结核合并结核性脑受累的发生率尚不清楚；一些作者估计约为22%。我们报告一例43岁男性，因痰菌阳性的粟粒性肺结核入住呼吸内科。在抗结核治疗的第26天，他主诉前额头痛，视力下降。眼底检查显示双侧视乳头水肿。脑部计算机断层扫描显示弥漫性圆形病变并伴有明显水肿。抗结核化疗辅以类固醇治疗。临床和影像学进展良好。
