Tuberculous Meningitis or Neurosarcoidosis—a Diagnostic Quandary
Jia Lin, Johannes Pulst‐Korenberg, Scott S. Zamvil, Jennifer Graves, Scott D. Newsome, Lilyana Amezcua
Neurology Neuroimmunology & Neuroinflammation · 2023-12
Abstract
Distinguishing granulomatous diseases remains diagnostically challenging. Clinical phenotypes and neuroimaging findings resemble many infectious and noninfectious disorders. We describe a Hispanic/Latino man diagnosed with tuberculous meningitis who deteriorated neurologically after treatments. Additional workup revealed a pathology more consistent with neurosarcoidosis. Care access delays and social circumstances likely complicated his diagnosis.
MeSH terms
- Neurosarcoidosis
- Medicine
- Tuberculous meningitis
- Neuroimaging
- Sarcoidosis
- Meningitis
- Pediatrics
- Tuberculosis
- Intensive care medicine
- Pathology