Asymptomatic pons tuberculoma in an infant with miliary tuberculosis

Authors

• Gulnar Uysal, Bilkent 2, G-2 blok, No:22, Bilkent, Ankara, Turkey. Tel. +90 (312) 2660901. Fax. +90 (312) 3472330. E-mail: tugbagursoy{at}superonline.com
• Tugba Gursoy, Departments of General Pediatrics, Ankara Children's Hospital, Social Security Institution, Ankara, Turkey.
• Umut Altunc, Department of General Pediatrics, Ankara Children's Hospital, Social Security Institution, Ankara, Turkey.
• Akif Guven, Department of Pediatric Infectious Diseases, Ankara Children's Hospital, Social Security Institution, Ankara, Turkey.

Abstract

Miliary tuberculosis is caused by the hematogenous spread of Mycobacterium tuberculosis and consists of 1.5% of all tuberculosis cases. It is seen mostly in infants because of the immature immune system, and central nervous system CNS involvement is not rare. Tuberculomas are rarely seen in the localized form of CNS tuberculosis, and only 4% are localized in the brain stem. We report a 4.5-month-old infant who deteriorated during follow-up with the diagnosis of cytomegalovirus pneumonia, and afterwards received the diagnosis of miliary tuberculosis. Although the baby had no neurologic abnormality and cerebrospinal fluid findings were normal, cranial MRI revealed contrast enhanced nodular lesions in pons, cerebellum, and right parietal region. The case is presented to intensify the importance of CNS investigation even if the patient with miliary tuberculosis has no neurologic finding.

Article Type

Case Report

First Page

1277

Last Page

1279

Recommended Citation

Uysal, Gulnar; Gursoy, Tugba; Altunc, Umut; and Guven, Akif (2005) "Asymptomatic pons tuberculoma in an infant with miliary tuberculosis," Saudi Medical Journal: Vol. 26: Iss. 8, Article 21.
DOI: https://doi.org/10.15537/1658-3175.3083