Delirium by earlystage tuberculous meningitis in a healthy elderly woman: case report

• Autor(a) principal: Oliveira,Marcus Vinicius Palmeira
• Data de Publicação: 2016
• Outros Autores: Buarque,David Costa
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Geriatrics, Gerontology and Aging (Online)
• Texto Completo: https://ggaging.com/details/372
• topic: Tuberculosis; Tuberculosis, Meningeal; Delirium; Health of the Elderly:

<p><b>INTRODUCTION:</b> Tuberculosis is a disease of great global impact, due to its high morbidity and mortality. Among the extrapulmonary manifestations, tuberculous meningitis stands out as the most severe form. His initial presentation is very varied atypical, especially in the elderly, when the delirium may be the only manifestation. In this phase it is common to misdiagnosis and treatment delay, including iatrogenic potential. This paper reports an early MTB event in an old previously healthy, with discussion of the characteristics of the initial onset of this condition.<br> <b>CASE REPORT:</b> A female patient, 72 years old, autonomous and independent, sought urgent care complaining of nonspecific abdominal pain started a few hours before, and who developed delirium two days later. After extensive investigation there was no definitive diagnosis, when we opted for the Cerebrospinal fluid study showed a pattern compatible with MTB likely. After 48 hours of specific treatment there was resolution of fever, with significant improvement of the confusional picture on the seventh day of treatment, was discharged.</p>