반복되는 특발성 늑막삼출의 과거력이 있었던 환아에서 발생한 두개내 결핵종 1례

A Case of Cerebral Tuberculoma who has been Suffered from Recurrent Idiopathic Pleural Effusion

저자들은 8세 8개월된 소아에서 반복적인 원인 모르는 늑막 삼출의 과거력이 있었던 환아에서 결핵성 뇌수막염과 두개내 결핵종이 발병하여 척수액 검사와 뇌 자기공명영상으로 진단 후 항결핵제와 스테로이드 치료로 호전되어 특별한 후유증 없이 8개월간 추적검사 중인 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Central nervous system(CNS) involvement by tuberculosis is uncommon in comparison to the involvement of other systems. Untreated tuberculous meningitis is characterized by progressive stupor and a fatal outcome within 4 to 8 weeks of the onset of symptoms. So rapid detection of Mycobacterium tuberculosis is of vital importance for these patients. In almost all patients with tuberculous meningitis, acid-fast bacteria are undetectable in the CSF. Culture techniques that permit the identification of the isolated mycobacterial species require several weeks. We report a case of tuberculous meningitis with intracranial tuberculoma in 8-year old male who experienced pleural effusion, repeatedly. CSF findings did not reveal diagnosis tuberculous meningitis. In MRI study, multiple intracranial tuberculomas were located at the cerebellum. Prolonged treatment with anti- tuberculous chemotherapy and