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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 77(4)

Tuberculous meningitis with dementia as the presenting symptom after intramedullary spinal cord tumor resection

https://doi.org/10.18999/nagjms.77.4.653
https://doi.org/10.18999/nagjms.77.4.653
dcc99453-6d54-4f2d-b433-35ea41e4b207
名前 / ファイル ライセンス アクション
41_Kobayashi.pdf 41_Kobayashi.pdf (553.7 kB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2015-11-24
タイトル
タイトル Tuberculous meningitis with dementia as the presenting symptom after intramedullary spinal cord tumor resection
著者 Kobayashi, Kazuyoshi

× Kobayashi, Kazuyoshi

WEKO 61012

Kobayashi, Kazuyoshi

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Imagama, Shiro

× Imagama, Shiro

WEKO 61013

Imagama, Shiro

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Ito, Zenya

× Ito, Zenya

WEKO 61014

Ito, Zenya

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Ando, Kei

× Ando, Kei

WEKO 61015

Ando, Kei

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Yagi, Hideki

× Yagi, Hideki

WEKO 61016

Yagi, Hideki

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Shinjo, Ryuichi

× Shinjo, Ryuichi

WEKO 61017

Shinjo, Ryuichi

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Hida, Tetsuro

× Hida, Tetsuro

WEKO 61018

Hida, Tetsuro

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Ito, Kenyu

× Ito, Kenyu

WEKO 61019

Ito, Kenyu

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Ishikawa, Yoshimoto

× Ishikawa, Yoshimoto

WEKO 61020

Ishikawa, Yoshimoto

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Matsuyama, Yukihiro

× Matsuyama, Yukihiro

WEKO 61021

Matsuyama, Yukihiro

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Ishiguro, Naoki

× Ishiguro, Naoki

WEKO 61022

Ishiguro, Naoki

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キーワード
主題Scheme Other
主題 tuberculous meningitis
キーワード
主題Scheme Other
主題 dementia
キーワード
主題Scheme Other
主題 intramedullary spinal cord tumor resection
キーワード
主題Scheme Other
主題 Vietnam diagnostic rule
抄録
内容記述 Early-stage TB meningitis has no specific symptoms in patients, potentially leading to delayed diagnosis and consequently worsening prognosis. The authors present the fatal case with a delayed diagnosis of tuberculous (TB) meningitis with dementia as the presenting symptom after intramedullary spinal cord tumor resection. The medical records, operative reports, and radiographical imaging studies of a single patient were retrospectively reviewed. A 77-year-old man who underwent thoracic intramedullary hemangioblastoma resection for 2 times. The postoperative course was uneventful, but 1.5 months after surgery, the patient suffered from dementia with memory loss and diminished motivation and speech in the absence of a fever. No abnormalities were detected on blood test, brain computed tomography and cerebrospinal fluid (CSF) analysis. A sputum sample was negative for Mycobacterium tuberculosis in the QuantiFERON®-TB Gold (QFT-G) In-Tube Test and the tuberculin skin test was also negative. The patient was diagnosed with senile dementia by a psychiatrist. However, the patient’s symptoms progressively worsened. Despite the absence of TB meningitis findings, we suspected TB meningitis from the patient’s history, and administered a four-drug regimen. However the patient died 29 days after admission, subsequently M. tuberculosis was detected in the CSF sample. This case is a rare case of TB meningitis initially mistaken for dementia after intramedullary spinal cord tumor resection. Symptoms of dementia after intramedullary spinal cord tumor resection should first be suspected as one of TB meningitis, even if the tests for meningitis are negative. We propose that anti-tuberculosis therapy should be immediately initiated in cases of suspected TB meningitis prior to positive identification on culture.
内容記述タイプ Abstract
出版者
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.77.4.653
ID登録タイプ JaLC
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
書誌情報 Nagoya Journal of Medical Science

巻 77, 号 4, p. 653-657, 発行日 2015-11
著者版フラグ
値 publisher
URI
識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/774.html
識別子タイプ URI
URI
識別子 http://hdl.handle.net/2237/23230
識別子タイプ HDL
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