Diagnostic Dilemma

Granuloma – Is it TB_?

A 15 years old boy was diagnosed to have neurocysticercosis in June 2011. CT scan showed left parietal nodular lesion with mild perilesional edema with tiny scolex. A repeat MRI scan in July 2011 showed multiple confluent granulomas in left parietal region with considerable perilesional edema suggestive of tuberculomas. ESR was 110mm at end of 1 hour. He was only on carbamazepine for the focal convulsion. TB treatment had not been started. He presented after 4 months for further management.

What should be done now_?
Expert Opinion :
This child underwent a repeat MRI brain which was normal.
Answer Discussion :
arshath ahamed
anti tb
7 years ago
shanthi shanthi
Rule out HIV. Additional tests for Tuberculosis and CSF and serological tests for neurocysticercosis. MRI can help.
7 years ago

View More Comments

Disclaimer: The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0