Granuloma – Is it TB_?

 
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Question
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.
Expert Opinion :
This child underwent a repeat MRI brain which was normal.
Answer Discussion :
A
arshath ahamed
bubble
anti tb
6 months ago
S
shanthi shanthi
bubble
Rule out HIV. Additional tests for Tuberculosis and CSF and serological tests for neurocysticercosis. MRI can help.
7 months ago

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