tuberculous pachymeningitis in a young child with spinal involvement: a case report
نویسندگان
چکیده
abstract 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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عنوان ژورنال:
archives of pediatric infectious diseasesجلد ۱، شماره ۱، صفحات ۳۶-۳۹
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