A case of pulmonary tuberculosis with stroke: A rare presentation

Tuberculosis (TB) is one of the most leading causes of death worldwide. India is one of the highest burden nations. The disease affects various organs and can have different presentations. Central nervous system is one of the dreaded complications of TB, and studies have shown that 5%–10% exposed to Mycobacterium TB can develop neurological TB. We report a case of a male patient with pulmonary TB presenting with right-sided hemiparesis with left-sided facial deviation and global aphasia. The patient was sputum CBNAAT positive, and magnetic resonance imaging brain was suggestive of acute evolving infract in the left fronto-temporo-parieto-occipital region suggestive of acute infarct in the left middle cerebral artery territory. TB could be a factor leading to thrombus formation causing stroke. In patients of TB risk for stroke though rare, but should be taken into consideration.