• Ann Fr Anesth Reanim · Sep 2013

    Case Reports

    [Diagnostic difficulty for an acute hydrocephalus.]

    • S Vico, L Franck, M Bensalah, C Gil, and S De Rudnicki.
    • Service d'anesthésie-réanimation, hôpital d'instruction des armées du Val-de-Grâce, 74, boulevard de Port-Royal, 75230 Paris cedex 05, France. Electronic address: sylvain.vico@hotmail.fr.
    • Ann Fr Anesth Reanim. 2013 Sep 1;32(9):618-20.

    AbstractTuberculosis disease, in its extra pulmonary form, remains a difficult diagnosis because of its atypical symptoms and evolution. We have observed a case of acute tuberculosis neuromeningitis, without being able to make a definite diagnosis prior to the patient's death because of the negativity of the initial bacteriological samples. We started the most probable appropriate treatment but in vain. This case allows us to challenge diagnostic methods and resulting treatments in emergency cases where tuberculosis is suspected. Moreover, it seems essential to do everything possible to find the bacterium when confronted with a patient with risk factors and clinical and radiological symptoms compatible with tubercular disease, before the disease becomes acute.Copyright © 2013 Société française d’anesthésie et de réanimation (Sfar). Published by Elsevier SAS. All rights reserved.

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