TB Meningitis and TB Peritonitis: Abdominal Pseudocyst and VP-Shunt Link. (28th April 2019)

• Record Type: Journal Article
• Authors: Ahmed, Manzoor; ElGamal, Essameldin Ali; Ahmad, Anwar; Zaman, Muhammad Badar
• Other Names: Link Daniel P. Academic Editor.
• Is Part Of: Case reports in radiology. Volume 2019(2019)
• Publication Date: 2019-04-28
• Subjects: Radiology -- Periodicals; Radiology -- Case studies -- Periodicals; Medical radiology -- Periodicals; Radiology; Radiology; Medical radiology; Periodicals; Electronic journals; Case studies; Periodicals; 616.0757
• DOI: 10.1155/2019/4893547
• Languages: English
• ISSNs: 2090-6862

Abstract

Abstract : TB meningitis (TBM) carries high morbidity and mortality and is a relatively common extrapulmonary TB in the third world countries. TBM as thick exudative disease manifests on MRI and CT as nodular basal leptomeningitis, hydrocephalus, basal infarcts, and tuberculomas. Hydrocephalus is treated with ventriculoperitoneal shunting (VPS). Shunt malfunction and revision are common. We report a case of multidrug-resistant TBM with spinal involvement and dissemination of the disease via VPS causing TB peritonitis (TBP). TBP presented as a large abdominal pseudocyst around the catheter tip with shunt malfunction. There was no evidence for any other site of extra-CNS disease. TBP per se is relatively less common. This is the first case reporting VPS as a means of TB spread.