Tuberculous Pachymeningitis in a Young Child With Spinal Involvement: A Case Report
Archives of Pediatric Infectious Diseases: 1 (1); 36-39
April 2, 2013
Article Type: Case Report
April 29, 2012
May 27, 2012
A, Rafiei Tabatabaei
M, et al. Tuberculous Pachymeningitis in a Young Child With Spinal Involvement: A Case Report,
Arch Pediatr Infect Dis.
Online ahead of Print
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.
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