%0 Journal Article %A Farida Essajee %A Regan Solomons %A Pierre Goussard %A Ronald Van Toorn %T Child with tuberculous meningitis and COVID-19 coinfection complicated by extensive cerebral sinus venous thrombosis %D 2020 %R 10.1136/bcr-2020-238597 %J BMJ Case Reports %P e238597 %V 13 %N 9 %X We herein report a case of a child with tuberculous meningitis and COVID-19 coinfection complicated by hydrocephalus, arterial ischaemic stroke and extensive cerebral sinus venous thrombosis. Both conditions induce a proinflammatory cytokine drive resulting, among others, in a prothrombotic state. The disruption of the coagulation system in this case was supported by elevated D-dimers, fibrinogen and ferritin levels, consistent with thrombotic complications reported in some adult patients infected with COVID-19. The child also exhibited prolonged viral shedding that suggests severe disease. %U https://casereports.bmj.com/content/bmjcr/13/9/e238597.full.pdf