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| Content Provider | African Journals Online (AJOL) |
|---|---|
| Author | Chahrazed Benrabah |
| Abstract | AbstractTuberculosis is one of the most widespread infectious diseases in the world. It constitutes amajor public health problem, especially in developing countries, including Algeria. Globallyand among all tuberculosis cases, WHO reports 14% extra-pulmonary tuberculosis (EPT) withoutconcomitant pulmonary involvement. In our country and in recent years, an upsurge inextrapulmonary tuberculosis has been observed.The objective of this article was to present an atypical case of cerebral tuberculosis whosediagnosis was late, made by anatomopathological examination with a review of the literature.We report the case of a young patient hospitalized in emergency for an intracranial hypertensionsyndrome with neurological disorders. Cerebral computed tomographyrevealed multiple brain locations with active hydrocephalus. The extension assessment waswithout anomaly.The patient underwent a surgical intervention, the operative consequenceswere favorable. The pathological examination was in favor of a specific inflammatory granulomatouslesion made up of large areas of caseous necrosis.The patient was cured under anti-tuberculosis treatment. The diagnostic problem and theresults will be discussed with a review of the literature. Cerebral tuberculosis is a rare formof extrapulmonary tuberculosis. The clinic as well as the neuroimaging (CT, MRI) are atypical.The diagnosis is postoperative, based on the pathological examination. The prognosisdepends on the early diagnosis, the site of the lesion and the response to anti-tuberculosistreatment. RésuméLa tuberculose est une des maladies infectieuses les plus répandues dans le monde .Ellereprésente un problème de santé publique majeur dans les pays en voie de développement,y compris l’Algérie .À l’échelle mondiale et parmi tous les cas de tuberculose, l’OMS rapporte 14 % detuberculose extra-pulmonaire (TEP) sans atteinte pulmonaire concomitante.Dans notre pays et durant ces dernières années, une recrudescence de la tuberculoseextrapulmonaire a été observée.L’objectif de cet article était de présenter un cas atypique de tuberculose cérébraledont le diagnostic a été tardif, posé par l’examen anatomopathologique avec une revuede la littérature.C’est le cas d’une jeune patiente hospitalisée dans le cadre de l’urgence pour un syndromed’hypertension intracrânienne avec troubles neurologiques. La tomodensitométriecérébrale a objectivé de multiples localisations cérébrales avec une hydrocéphalieactive. Le bilan d’extension était sans anomalie. La patiente avait bénéficié d’une interventionchirurgicale, les suites opératoires ont été favorables. L’examen anatomo-pathologiqueétait en faveur d’une lésion inflammatoire spécifique granulomateuse faitede larges plages de nécrose caséeuse. La patiente a répondu au traitement antituberculeux.Le problème diagnosticque et les résultats seront discutés avec une revue de la littérature.La tuberculose cérébrale est une forme rare de la tuberculose extra-pulmonaire.Le tableau clinique ainsi que la neuro-imagerie (TDM, IRM) sont atypiques. Le diagnosticétait postopératoire, reposant sur l’examen anatomopathologique. Le pronostic dépendde la précocité du diagnostic, du siège de la lésion et de la réponse au traitement antituberculeux. |
| Ending Page | 818 |
| Starting Page | 815 |
| File Format | |
| ISSN | 25719874 |
| e-ISSN | 26026511 |
| Journal | Journal de la Faculté de Médecine d’Oran |
| Issue Number | 2 |
| Volume Number | 6 |
| Language | English French |
| Publisher Date | 2022-12-25 |
| Access Restriction | Open |
| Subject Keyword | Health |
| Content Type | Text |
| Resource Type | Article |
| Subject | Medicine |
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