Raziel Castillo-Guevara, Adriana Martínez-Mayorga and Ildefonso Rodriguez- Leyva*
Hospital Central “Dr. Ignacio Morones Prieto”, Medicine Faculty, Universidad Autonoma de San Luis Potosí, Mexico
*Corresponding Author: Ildefonso Rodriguez-Leyva, Hospital Central “Dr. Ignacio Morones Prieto”, Medicine Faculty, Universidad Autonoma de San Luis Potosí, Mexico.
Received: June 15, 2020; Published: July 10, 2020
Objective: To share an uncommon clinical case presentation of a young adult who shows a clinical picture of myasthenia gravis and had neuroinfection problem.
Presentation of the Case: A 20-year-old woman with progressive and fluctuant ptosis and diplopia was evaluated through clinical and extension studies (including a repetitive neurostimulation test), but the outcome and, finally, the CSF study help us to make the diagnosis of tuberculosis from the CNS.
Results: The high opening pressure, with the xanthochromic aspect and the hypoglycorrhachia with pleocytosis with mononuclear cell elevation and Tb-positive PCR, make us the guidelines for the diagnosis and final treatment. Magnetic resonance imaging shows a pinealoma and a lightly bright of the arachnoid structures.
Conclusion: The multiple forms of presentation of this endemic disease push us to consider this unfortunate problem in patients with cranial nerve affection due to arachnoiditis secondary to CNS tuberculosis.
Keywords: Tuberculosis; Pulmonary
Citation: Ildefonso Rodriguez-Leyva., et al. “Meningeal Tuberculosis Presented As A Myasthenia Gravis Picture".Acta Scientific Microbiology 3.8 (2020): 15-20.
Copyright: © 2020 Ildefonso Rodriguez-Leyva., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.