A case of systemic disseminated tuberculosis with cerebral infarction as the initial symptom

Liu Yang¹*, Qian Wang¹, Xue Bai², Qian Chen³

¹ Department of Infectious Diseases, Cangzhou Central Hospital, Cangzhou, Hebei, 061000, China  

² Parkinson’s and Movement Disorders Department, Cangzhou Central Hospital, Cangzhou, Hebei, 061000, China  

³ Tuberculosis Department, Cangzhou Third Hospital, Cangzhou, Hebei, 061000, China

Corresprndence:

Liu Yang; Email: shedu2000@163.com

Abstract

This article reports the diagnosis and treatment process of a middle-aged woman with systemic disseminated tuberculosis infection. Her initial symptoms were speech impairment and left limb weakness, and the preliminary diagnosis was cerebral infarction. After admission, she began to complain of headache and developed a fever. Lumbar puncture was then performed, which revealed tuberculous meningitis. During treatment, pulmonary lesions and intestinal obstruction occurred. Acid-fast staining of alveolar lavage fluid and stool were positive. The final diagnosis was systemic disseminated tuberculosis.

Keywords: cerebral infarction, tuberculous meningitis, systemic disseminated tuberculosis