Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Cerebral Toxoplasmosis Combined with Disseminated Tuberculosis

  • Hwang, Eui-Ho (Department of Neurosurgery, Dae-Ah Hando General Hospital) ;
  • Ahn, Poong-Gi (Department of Neurosurgery, Dae-Ah Hando General Hospital) ;
  • Lee, Dong-Min (Department of Anatomy, College of Medicine, Korea University, Brain Korea 21) ;
  • Kim, Hyeok-Su (Department of Neurosurgery, Dae-Ah Hando General Hospital)
  • Received : 2011.06.02
  • Accepted : 2012.05.15
  • Published : 2012.05.28
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Abstract

A 24-year-old man presented with mental change, fever, abdominal pain, tenderness and palpable mass on the lower abdomen. He was a non-Korean engineer and did not accompany a legal guardian, so medical history taking was difficult due to his mental status. Brain magnetic resonance imaging showed multiple rim-enhanced lesions of the brain, and abdominal computed tomography showed huge paraspinal abscess. Chest X-ray and computed tomography showed poorly defined nodular opacities. We initially thought that this patient was infected with toxoplasmosis with typical cerebral image finding and immunoglobulin laboratory finding of cerebrospinal fluid and serum study. The abdominal abscess was confirmed as tuberculosis through the pathologic finding of caseous necrosis. We used anti-tuberculosis medication and anti-toxoplasmosis medication for almost 4 months, and then his clinical state and radiological findings were considerably improved.

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References

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