Acta Scientific Microbiology (ASMI) (ISSN: 2581-3226)

Case Report Volume 3 Issue 8

Meningeal Tuberculosis Presented ss A Myasthenia Gravis Picture

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

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Abstract

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

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References

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Citation

Citation: Ildefonso Rodriguez-Leyva., et al. “Meningeal Tuberculosis Presented As A Myasthenia Gravis Picture".Acta Scientific Microbiology 3.8 (2020): 15-20.



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