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ISSN: 0031-3939
Pediatria Polska - Polish Journal of Paediatrics
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5/2018
vol. 93
 
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abstract:
Case report

Tuberculosis meningitis resulting from chronic otitis in an eight-year-old boy – case report

Justyna Frąszczak-Wojańska
,
Anna Mania
,
Joanna Nowak
,
Katarzyna Jończyk-Potoczna
,
Paweł Kemnitz
,
Katarzyna Mazur-Melewska
,
Wojciech Służewski
,
Magdalena Figlerowicz

Pediatr Pol 2018; 93 (5): 420–423
DOI: https://doi.org/10.5114/polp.2018.80692
Online publish date: 2018/10/30
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Introduction
Tuberculous meningitis (TBM) is a rare but devastating form of tuberculosis. Early diagnosis is difficult because patients tend to present a subacute course with nonspecific symptoms, but it is crucial for the outcome.

Material and methods
We report the case of an eight-year-old boy admitted to the Department of Infectious Disease and Child Neurology in Poznan, where a diagnosis of TBM was established. Treatment was initiated according to Polish Respiratory Society recommendations for TBM. Clinical improvement was achieved.

Results and conclusions
Provision of adequate treatment is likely to achieve a good prognosis in patients with TMB, so we should keep in mind this diagnosis when encountering patients with meningitis of unknown origin and uncertain history.

keywords:

tuberculosis, tuberculous meningitis, fever, children