Elusive tuberculous meningitis with rare neurological complication of longitudinally extensive transverse myelitis: a case report.

ABSTRACT:

Introduction

Longitudinally extensive transverse myelitis (LETM) is inflammation of the spinal cord that spans three or more spinal segments. LETM is a rare occurrence on its own and has seldom been reported with tuberculous meningitis (TBM), the rarest and deadliest of tuberculous manifestations. TBM is usually seen in children, the immunocompromised, or those with a previous history of tuberculosis infection.

Case presentation

A 24-year-old healthy male with no co-morbidities or history of tuberculosis presented with fever and headache for the past 3 months. The patient's Kernig's and Brudzinski's signs were both negative, with bilateral abnormal plantar reflexes. The neurological level of injury was T8 and the patient was classified as AIS grade A. His CSF analysis showed

SUBMITTER: Zafar Z 

PROVIDER: S-EPMC8438549 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature