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Journal of Tropical Pediatrics Advance Access published online on April 26, 2005
Journal of Tropical Pediatrics, doi:10.1093/tropej/fmi019
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© Oxford University Press 2005; all rights reserved

Case Report

Paradoxical Appearance of Intracranial Tuberculoma in a Child with Tuberculous Meningitis

Shah Ira 1*

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

* To whom correspondence should be addressed.
Shah Ira, E-mail: irashah86{at}hotmail.com


  Abstract

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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