Question of the Week

Question :
Posted On : 29 Nov 2004
I had a patient aged 12 years with c,o fever 1 month back associated with vomting, for which he took treatment with local R.M.P. and some auyurvedic drugs. On examination, he had typical cerebellar signs, fundus-early papiledema, C.T.Brain- communicating hydrocephalus. CSF- CELLS 5cells,c.mm {all lymphocytes}, sugar 45mg Percent proteins 109 mg Percent. Antituberculous treament started. Any ALTERNATE {D,D} DIAGNOSIS regarding this patient?
4
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Answer Discussion :
P
pediatriconcall
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One should rule out a benign raised intracranial pressure as CSF picture shows only 5 cells.
Since the CSF sugar is low, one can also rule out a partially treated pyogenic meningitis. Other causes of chronic meningitis apart from TBM, such as cryptococcal meningitis, fungal infection, brucella, nocardia also have to be kept in mind.
The child is not behaving like a typical TBM.

20 years ago
A
almoty mohamrd
Profile
VIRAL ENCEPHALOMYELTIS
SOL

20 years ago
N
nikhil agrawal
Profile
cerebellitis
20 years ago
S
sami taha
Profile
cerebellitis
20 years ago




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