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Volume 2008, Issue 1
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

We present, as a rare manifestation of miliary TB, a case of tuberculous tenosynovitis, preceding by two weeks onset of tuberculous meningitis. A gradual progressive onset of a painless swelling of the right forearm was followed by high-grade fever, headache and neck pain. A suspected diagnosis of tuberculous meningitis based upon analysis of cerebrospinal fluid (CSF) was confirmed later by positive CSF polymerase chain reaction (PCR) for mycobacterium tuberculosis. Although the patient had a positive Mantoux test of 20 mm, there was no evidence of pulmonary TB and a negative CSF smear for acid fast bacilli but a positive smear from a fine needle aspirate of the swelling of the right forearm. The antituberculous therapy led to a successful outcome.

© 2008 Errayes, Yassin, Khan, licensee Bloomsbury Qatar Foundation Journals.
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/content/journals/10.5339/qmj.2008.1.23
2008-06-01
2025-01-25
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/content/journals/10.5339/qmj.2008.1.23
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  • Article Type: Case Report
Keyword(s): Meningitis, Miliary, Tuberculous tenosynovitis and wrist

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