Neuro-meningeal tuberculosis: A diagnostic challenge in systemic sarcoidosis
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


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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Article Type: Case Report

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

Publication date: 22 May 2022

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