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Acta Medica Colombiana

Print version ISSN 0120-2448

Abstract

MESA, Paula Andrea; ROLDAN, Sebastián; TOVAR, Paula  and  RAMIREZ-RINCON, Alex. Intramedullary tuberculoma. Acta Med Colomb [online]. 2016, vol.41, n.2, pp.141-143. ISSN 0120-2448.

The case of a 35 years old male patient with a thoracic intramedullary tuberculoma, with diagnosis of HIV (Human Immunodeficiency Virus) of six years of evolution and of pulmonary TB (tuberculosis) two months before, is presented; he had medical management and HAART (highly effective anti retroviral therapy) without proper adhesion. The contribution of MRI (magnetic resonance imaging) to the diagnosis, in which an image of focal area of myelitis in T10 intensely marked with contrast medium, suggests TB infection, is described.

The intramedullary tuberculoma is rare, but should be considered as a differential diagnosis of symptoms of spinal cord compression in HIV-infected patients with no clear evolution and negative cerebrospinal fluid studies. (Acta Med Colomb 2016; 41: 141-143).

Keywords : intramedullary tuberculoma; HIV; MRI.

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