Diagnostic delay in ankle and foot tuberculosis resulting in tuberculoma and tuberculous meningitis in a middle-aged female: A case report

A middle-aged woman presents with chronic foot arthritis which progressed to a non-healing ulcer, which was unresponsive to conventional antibiotics and debridement. She then developed cerebral manifestations and was empirically treated with antitubercular medications which led to healing of the ulc...

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Bibliographic Details
Published in:	SAGE open medical case reports Vol. 12; p. 2050313X241274223
Main Authors:	Swai, Hedwiga F, Moledina, Sibtain M, Nsato, Sylvia B, Mgunya, Amina, Rugemalila, Joan, Byemelwa, Veridiana, Ismail, Sharon, Chale, Pauline, Mwapule, Luth, Masao, Alex, Tarimo, Jude, Meda, Amunga, Muhali, Fatuma, Shoo, May, Uiso, Eva, Rwezaura, Stella, Minja, Eliaichi, Beda, Deogratius, Nyagabona, Sarah K, Kisanga, Onesmo, Salehe, Sayan, Chiwanga, Faraja, Mwemba, Said, Rwegasha, John, Shayo, Grace
Format:	Journal Article
Language:	English
Published:	London, England SAGE Publications 01-01-2024 Sage Publications Ltd SAGE Publishing
Subjects:	Case Report Case reports Medical diagnosis Meningitis Tuberculosis Extrapulmonary tuberculosis ankle and foot tuberculosis tuberculoma tuberculous meningitis
Online Access:	Get full text
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Summary:	A middle-aged woman presents with chronic foot arthritis which progressed to a non-healing ulcer, which was unresponsive to conventional antibiotics and debridement. She then developed cerebral manifestations and was empirically treated with antitubercular medications which led to healing of the ulcer. Unfortunately, delays in initiating treatment resulted in development of other extrapulmonary tuberculosis complications such as cerebral tuberculoma with tuberculous meningitis. She was subsequently diagnosed with neurocysticercosis which continued to worsen during her hospital stay. She eventually succumbed to her illness due to the complications and a possible nosocomial infection. This case highlights the challenges with diagnosis of uncommon presentations of common diseases in an endemic area, leading to diagnostic delays and development of serious complications.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	2050-313X 2050-313X
DOI:	10.1177/2050313X241274223