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Journal of Tropical Pediatrics Advance Access originally published online on April 26, 2005
Journal of Tropical Pediatrics 2005 51(3):191-193; doi:10.1093/tropej/fmi019
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© The Author [2005]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oupjournals.org

Case Report

Paradoxical Appearance of Intracranial Tuberculoma in a Child with Tuberculous Meningitis

Shah Ira

Department of Pediatrics, B. J. Wadia Hospital for Children, Mumbai

Dr Ira Shah, 240 D. Walkeshwar Road, Malabar Hill, Mumbai 400006. E-mail <irashah86{at}hotmail.com>.

Intracranial tuberculomas are known to develop during treatment of tuberculous meningitis (TBM). However, they usually develop within weeks or a couple of months after the start of antituberculous therapy (ATT). We present a case of an 18-month-old boy who developed tuberculomas after 9 months of ATT, which subsequently responded to the reintroduction of steroids. Thus, one must keep a watch for neurological deterioration in a child of TBM and if it is due to tuberculomas, one may have to continue steroids and ATT for a long time.


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