Neuro-meningeal tuberculosis: A diagnostic challenge in systemic sarcoidosis
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Salma Ben Hmida 1 * , Donia Chebbi 2 , Ichrak Bougharriou 1 , Mounir Ben Jemaa 1 , Sameh Marzouk 2 , Zouhir Bahloul 2
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1 Department of Infectious Diseases, Hedi Chaker University Hospital, Sfax, TUNISIA2 Department of Internal Medicine, Hedi Chaker University Hospital, Sfax, TUNISIA* Corresponding Author

Abstract

Tuberculosis and sarcoidosis are chronic diseases that rarely occur concomitantly. They are sometimes difficult to separate, especially in the absence of a microbiological confirmation. The case described is suggestive of a coexistent systemic sarcoidosis and neuro-meningeal tuberculosis (NMT), which is an underrecognized entity in the medical literature. We present a case of a 42-year-old woman with an established diagnosis of systemic sarcoidosis who subsequently developed NMT. Lumbar puncture was failed because patient was very obese. We have started a trial anti-tuberculosis treatment with a good clinical and radiological evolution. In our knowledge, this is the first case reported, of coexistent systemic sarcoidosis and NMT.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Case Report

ELECTR J MED DENT STUD, Volume 12, Issue 2, June 2022, Article No: em0098

https://doi.org/10.29333/ejmds/12105

Publication date: 22 May 2022

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