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A Rare Presentation of Invasive Tuberculosis of the Central Nervous System in an Immunocompetent Patient in a Nonendemic Country.

dc.contributor.authorMartins, R
dc.contributor.authorCasimiro, C
dc.contributor.authorHerrero Valverde, A
dc.contributor.authorCampillo, J
dc.date.accessioned2019-01-21T17:26:51Z
dc.date.available2019-01-21T17:26:51Z
dc.date.issued2018
dc.description.abstractWe herein report a rare case of a 25-year-old immunocompetent male patient with disseminated tuberculosis of central nervous system (CNS), first presenting as multiple cerebral lesions with no meningeal involvement. Subsequent diagnostic workup disclosed extensive peritoneal involvement. A broad differential diagnosis was considered, including neoplastic and infectious diseases. The diagnosis was confirmed with positive PCR result for Mycobacterium tuberculosis in the biopsied mesenteric tissue. The patient was started on tuberculostatic regimen with favorable outcome. No acquired or hereditary immunodeficiency was documented. Disseminated tuberculosis in immunocompetent individuals is extremely rare. Genetic susceptibility factors have been reported in individuals with extensive forms of the disease and a high index of suspicion is required, as observed in our case.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationCase Rep Neurol Med. 2018 Jul 9;2018:2940947.pt_PT
dc.identifier.doi10.1155/2018/2940947pt_PT
dc.identifier.issn2090-6676
dc.identifier.urihttp://hdl.handle.net/10400.10/2081
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherHindawi Publishing Corporationpt_PT
dc.relation.publisherversionhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6077511/pdf/CRINM2018-2940947.pdfpt_PT
dc.subjectTuberculosispt_PT
dc.subjectCentral nervous systempt_PT
dc.titleA Rare Presentation of Invasive Tuberculosis of the Central Nervous System in an Immunocompetent Patient in a Nonendemic Country.pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceNew Yorkpt_PT
oaire.citation.titleCase reports in neurological medicine.pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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