Bir olgu nedeniyle varicella zoster ensefaliti ve tüberküloz menenjit birlikteliği

Year 2021, , 149 - 152, 21.12.2021

Salih Cesur , Fatoş Ersoy , Merve Sarı , Cigdem Ataman Hatipoglu , Esra Kaya Kılıç , Sami Kınıklı

https://doi.org/10.47582/jompac.971107

Abstract

Bu yazıda literatürde nadiren bildirilen bir durum olan varicella zoster ensefaliti ile tüberküloz menenjiti birlikteliği olan 58 yaşında erkek hasta sunuldu. Orbitofrontal bölgede zona tanısıyla valasiklovir tedavisi alırken hastada varicella zoster virüse bağlı olarak ensefalit kliniği gelişti. Tedavi sonrası ateşinin düşmemesi üzerine yapılan incelemelerde beyin omurilik sıvısında polimeraz zincir reaksiyonu testinde Mycobacterium tuberculosis kompleks’in pozitif saptandı. Hastaya tüberküloz menenjit tanısı konuldu. Tedavi sonrasında hastanın ateşi ve klinik yakınmaları tamamen düzeldi.

Keywords

Varicella zoster ensefaliti, tüberküloz menenjit, koinfeksiyon

Supporting Institution

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Thanks

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Coexistence of varicella zoster encephalitis and tuberculous meningitis due to a case

Abstract

In this article, a 58-year-old male patient with coexistence of varicella zoster encephalitis and tuberculous meningitis, a condition rarely reported in the literature, is presented. While receiving valacyclovir treatment with the diagnosis of shingles in the orbitofrontal region, the patient developed encephalitis clinic due to varicella zoster virus. In the examinations made after the fever did not decrease after the treatment, the polymerase chain reaction test in the cerebrospinal fluid was positive for Mycobacterium tuberculosis complex. The patient was diagnosed with tuberculous meningitis. After the treatment, the patient’s fever and clinical complaints completely resolved.

Keywords

Varicella zoster encephalitis, tuberculous meningitis, coinfection

Project Number

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