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Tuberculous Pachymeningitis in a Young Child With Spinal Involvement: A Case Report

AUTHORS

Abdollah Karimi 1 , Sedigheh Rafiei Tabatabaei 1 , * , Farideh Shiva 1 , Maryam Sayfikar 1 , Mohsen Jafari 1 , Fariba Shirvani 1 , Reza Shiari 1

1 Pediatric Infections Research Center, Department of Pediatric Infectious Diseases, Shahid Beheshti University of Medical Sciences, sr_tabatabaei@yahoo.com, IR Iran

How to Cite: Karimi A, Rafiei Tabatabaei S, Shiva F, Sayfikar M, Jafari M, et al. Tuberculous Pachymeningitis in a Young Child With Spinal Involvement: A Case Report, Arch Pediatr Infect Dis. Online ahead of Print ; 1(1):36-39. doi: 10.5812/pedinfect.5351.

ARTICLE INFORMATION

Archives of Pediatric Infectious Diseases: 1 (1); 36-39
Published Online: April 2, 2013
Article Type: Case Report
Received: April 29, 2012
Accepted: May 27, 2012
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Abstract

Abstract: Pachymeningitis is a rare chronic disorder of the duramater caused by various infectious, autoimmune or malignant diseases. We report a child with chronic tuberculous pachymeningitis, who presented with clinical manifestations of meningitis with a compatible cerebrospinal fluid analysis. Despite signs of progressive neurological involvement, extensive work-up done to rule out known causes of dural inflammation was negative. The patient was started empirically on anti-tuberculous therapy, to which he responded after 2 weeks. He was discharged on anti-TB medications. He remains well on follow-up. We recommend a trial of anti-tuberculous treatment in children presenting with signs of pachymeningitis in whom the cause of chronic meningeal inflammation cannot be identified.

Keywords

Tuberculosis Child Meningitis

© 2013, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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