Inoue T, Ikeda N, Kurasawa T, Sato A, Nakatani K, Ikeda T
Department of Respiratory Medicine, National Minami-Kyoto Hospital, Japan.
Kekkaku. 1998 Apr;73(4):315-20.
A 75-year-old male was admitted to our hospital with complaints of fever and cough. Chest X-ray showed infiltrative shadows with cavity, and sputum smears were positive for acid-fast bacilli. About 2 months after the initiation of anti-tuberculous chemotherapy, suddenly generalized convulsion occurred. CT of the brain showed the solitary mass with the ring enhancement in the left subcortical area. About 4 weeks later, brain aspiration drainage was performed and pus was aspirated. He was diagnosed as intracranial tuberculous abscess. After the drainage, neurological symptoms disappeared completely and there were no recurrence of abscess. Attention should be called to the complication of intracranial tuberculosis, especially in cases worsened during anti-tuberculous chemotherapy.
一名75岁男性因发热和咳嗽入院。胸部X线显示有浸润性阴影伴空洞，痰涂片抗酸杆菌阳性。抗结核化疗开始约2个月后，突然出现全身性惊厥。脑部CT显示左皮质下区域有一个环形强化的孤立肿块。约4周后，进行了脑穿刺引流并抽出脓液。他被诊断为颅内结核性脓肿。引流后，神经症状完全消失，脓肿未复发。应注意颅内结核的并发症，尤其是在抗结核化疗过程中病情恶化的病例。
