Mustafa KAYAN, ÖNDER ÖZTÜRK, Esma Dilek ÜSTÜN, Mehmet MUNDUZ, Fatmanur KAYAN, Vedat Ali YÜREKLİ

133108

Çoklu intrakranial tüberkülomlar ve tüberküler beyin apsesi ile ilişkili akciğer tüberkülozu

"Mycobacterium tuberculosis" yaygın bir hastalık olmasına rağmen, miliyer tüberkülozis, özellikle, tüberkülomlar, nadir görülen patolojilerdir. Miliyer tüberkülozun ve diğer organ tüberkülozlarının tanısı oldukça zordur. Bu makalede artmış intrakraniyal basınç ve solunumsal semptomları olan iki olgu bildirilmektedir. Mikobakterium tüberkülozis tanısı konulan olguların biri beyin tüberkülomu ile ilişkili iken, diğer olguda tüberkülomun komplikasyonu sonucu gelişen apse mevcuttu. Apse gelişimi de konvülsiyona neden olmaktaydı. Olgular tüberküloz hastalığının farklı klinik ve radyolojik bulgularına sahip oldukları için sunulmuştur

Pulmonary tuberculosis associated with multiple intracranial tuberculomas and tubercular brain abscess

Although mycobacterium tuberculosis is a widespread disease, miliary tuberculosis especially tuberculomas is a rare pathological condition. The diagnosis of miliary tuberculosis and the involvement of other systems by tuberculosis are difficult. We reported two cases with having respiratory and high intracranial pressure symptoms. They diagnosed as mycobacterium tuberculosis associated with brain tuberculomas, and abscess formation developed as a complication of tuberculomas in one of the patients. The development of abscess formation was the cause of convulsion. The cases were presented due to presence of different clinical and radiological findings on tuberculous disease
PDF

___

  • 1. Yen HL, Lee RJ, Lin JW, Chen HJ. Multiple tuberculomas in the brain and spinal cord: a case report. Spine. 2003;28:499–502.
  • 2. Giese A, Kucinski T, Hagel C, et al. Intracranial tuberculomas mimicking a malignant disease in an immunocompetent patient. Acta Neurochir 2003;145:513- 517.
  • 3. Gupta RK, et al. MR imaging of Intracranial Tuberculomas. JCAT. 1988;12:280–285.
  • 4. Draouat S. Computed Tomography of cerebral tuberculoma. JCAT. 1987;11:594–597.
  • 5. Bhargava S. Intracranial tuberculomas. A CT study. Br J Radiol. 1982;53:935–945.
  • 6. Groper MR, Schulder M, Sharan AD, et al. Central nervous system tuberculosis: medical management and surgical indications. Surg Neurol 1995;44:378- 385
  • 7. Ceylan E, Gencer M. MTB tuberculosis associated with multiple intracranial tuberculomas. Tohoku J Exp Med. 2005; 205:367-370.
  • 8. Cortez K, Kottilil S, Mermel LA. Intracerebral tuberculoma misdiagnosed as neurosarcoidosis. South Med J 2003;96:494- 6.
  • 9. Ozveren F, Cetin H, Guner A, et al. Intracranial tuberculoma mimicking metastasis from renal tumor. Neurol Med Chir 1997;37:475-478.
  • 10. Gupta RK, Jena A, Guka DK, et al. MR imaging of intracranial tuberculomas. J Comput Assist Tomogr 1988;12:280- 285.
  • 11. Al-Deeb SM, Yaqub BA, Sharif HS, et al. Neurotuberculosis: a review. Clin Neurol Neurosurg 1992;94:30- 33
  • 12. Ravenscroft A, Schoeman JF, Donald PR. Tuberculous granulomas in childhood tuberculous meningitis: radiological features and course. J Trop Pediatr. 2001;47:5- 12.
  • 13. Wasay M, Kheleani BA, Moolani MK, Zaheer J, Pui M, Hasan S, et al. Brain CT and MRI findings in 100 consecutive patients with intracranial tuberculoma. J Neuroimaging 2003;13:240-247.
  • 14. Gupta RK, Kathuria MK, Pradhan S. Magnetization transfer MR imaging in CNS tuberculosis. Am J Neuroradiol 1999;20:867-875.
  • 15. Central nervous system tuberculoma: a case report. Berger P, Larson J, Guss D. J Emerg Med. 1998;16:719-722.
  • 16. Gokalp H, Ozkal E, Tumer B. Intracranial tuberculomas. Clin Neurol Neurosurg 1976;79:228- 236.
  • 17. American Thoracic Society, CDC, Infectious Diseases Society of America. Treatment of tuberculosis. Morbidity and Mortality Weekly Report: Recommendations and Reports, 2003;52:1–77.
  • 18. National Collaborating Centre for Chronic Conditions. 2. Tuberculosis: clinical diagnosis and management of tuberculosis, and measures for its prevention and control. London, Royal College of Physicians, NICE (National Institute for Health and Clinical Excellence), 2006.
  • 19. Giese A, Kucinski T, Hagel C, et al. Intracranial tuberculomas mimicking a malignant disease in an immunocompetent patient. Acta Neurochir 2003;145:513- 517.
  • 20. Zein TM, Fletcher PS, Mirghani ZM. Intracranial tuberculoma. Saudi Med J 2000;21:196-199.
  • 21. Dooley DP, Carpenter JL, Rademacher S. Adjunctive corticosteroid therapy for tuberculosis: a critical reappraisal of the literature. Clin Infect Dis 1997;25:872–887.
  • 22. Afghani B, Lieberman JM. Paradoxical enlargement or development of intracranial tuberculomas during therapy: case report and review. Clin Infect Dis 1994;19:1092– 1099
Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi-Cover
  • ISSN: 1300-7416
  • Yayın Aralığı: 4
  • Başlangıç: 1994
  • Yayıncı: SDÜ Basımevi / Isparta
Arşiv
Sayıdaki Diğer Makaleler

Dirençli diyabetik makula ödemi tedavisinde kombine intravitreal triamsinolon – bevacizumab ile topikal nepafenak tedavisinin kısa dönem etkisi

Handan BARDAK, MURAT GÜNAY, Mustafa Muhterem EKİM, Yavuz BARDAK

Bir adipositokin üyesi: Leptin

CENNET AK

Erzurum ilinde servikal kanser taramalarında epitelyal hücre anormalliği sıklığı ve ASC-US tanısı alanların kontrol smearlerinin değerlendirilmesi

Şenay Erdoğan DURMUŞ, Sevilay Akalp ÖZMEN, İLKNUR ÇALIK, Ali KURT, Hilal BALTA, Ebru ŞENER, Mehmet Eşref KABALAR, ESRA ÇINAR TANRIVERDİ

Çoklu intrakranial tüberkülomlar ve tüberküler beyin apsesi ile ilişkili akciğer tüberkülozu

Mustafa KAYAN, ÖNDER ÖZTÜRK, Esma Dilek ÜSTÜN, Mehmet MUNDUZ, Fatmanur KAYAN, Vedat Ali YÜREKLİ

Spinal anestezi uygulanan elektif sezaryenlerde bupivakaine eklenen fentanil ve morfinin etkilerinin karşılaştırılması

Fahrettin KIRÇİÇEK, FİLİZ ALKAYA SOLMAZ, SADIK ÖZMEN, PAKİZE KIRDEMİR

Terapötik indeksi dar olan ilaçlarda etkileşimler

Halil AŞCI, SONGÜL ÖZKULA