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Abstract

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Article in Japanese

Case Report

A case of pulmonary tuberculosis with left cerebral tuberculoma and tuberculous aneurysm of the left common carotid artery

Ayaka Tsugea  Takeo Kutsunab  Hiroki Tomitaa  Masashi Kawanamia  Kazuomi Takahashic  Hisashi Wakayamaa 

aDepartment of Respiratory Medicine, Japanese Red Cross Nagoya Daini Hospital
bDepartment of Respiratory Medicine, Daido Hospital
cDepartment of Respiratory Medicine and Allergology, Toyohashi Municipal Hospital

ABSTRACT

A 76-year-old man was admitted to our hospital because of weakness in his right lower extremity. Cranial MRI revealed multiple lesions. Thoracic CT showed tree-in-bud appearance, and PCR testing for the Mycobacterium tuberculosis of the gastric juice was positive. Pulmonary tuberculosis was diagnosed, and it and the brain lesion improved by antituberculosis drug. Seven months later his voice became hoarse. The aneurysm was worsening; thus he underwent an operation. Epitheloid cell granuloma and Langhans' giant cells were detected, and a tuberculous aneurysm was diagnosed. To our knowledge, this is the first case of pulmonary tuberculosis with a cerebral tuberculoma and tuberculous aneurysm.

KEYWORDS

Cerebral tuberculoma  Tuberculous aneurysm  Pulmonary tuberculosis 

Received 19 Dec 2016 / Accepted 24 Jan 2017

AJRS, 6(3): 174-179, 2017

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