BMJ Case Reports 2012; doi:10.1136/bcr.02.2012.5807
  • Images in…

Acute tuberculous meningitis with fulminant fatal evolution in a 69-year-old man

  1. Tristan Ferry1,2,3
  1. 1Hospices Civils de Lyon, Lyon, France
  2. 2Université Claude Bernard, Lyon 1, France
  3. 3Pathogénie Bactérienne et Immunité Innée, INSERM U851, Lyon, France
  1. Correspondence to Dr Tristan Ferry, tristan.ferry{at}


An immunocompetent (HIV-negative) 69-year-old Caucasian man with a history of paramedian pontine acute ischaemic stroke requiring intravenous thrombolysis 1 year earlier (ataxia as sequelae only) was admitted with a 7-day history of fever. The patient was in a confused state at admission, with known ataxia but without other neurological signs. His mental status worsened 4 days after admission with occurrence of a coma and neck stiffness. Mild hydrocephalus was observed on a first MRI (figure 1A), and ventriculoperitoneal shunt was not performed. Central nervous system tuberculosis was finally diagnosed (cerebrospinal fluid (CSF) …

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article