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Universitas Medica

Print version ISSN 0041-9095On-line version ISSN 2011-0839

Abstract

PALACIO SANGUINO, Alejandra; ARIZA GALINDO, Carlos José  and  GOMEZ ARTEAGA, Ronald Camilo. Tuberculosis of the Central Nervous System in an Elderly Patient: Case Report. Univ. Med. [online]. 2020, vol.61, n.4, pp.30-34.  Epub June 30, 2020. ISSN 0041-9095.  https://doi.org/10.11144/javeriana.umed61-4.tsnc.

Tuberculosis (TB) is a pathology prevalent at a global level in our society, the elderly population being one of the most susceptible to develop it given the presence of special conditions such as: immunosenescence, pluripatology, polypharmacy, malnutrition, among others. The case of an elderly patient who is admitted to the emergency department due to clinical deterioration secondary to altered state of consciousness is presented below. Primary causes such as TBI, bleeding or cerebral ischemic events and seizure status are ruled out. Upon interrogation, long-standing respiratory symptoms were found with radiographic findings of tuberculosis, confirmed by chest CT, with subsequent neuroinfection findings given the persistence of altered state of consciousness and the report of lumbar puncture.

Keywords : tuberculosis; aged; meningitis; tuberculoma.

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