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Paradoxical appearance of intracranial tuberculoma in a child with tuberculous meningitis.

Ira S

Department of Pediatrics, B. J. Wadia Hospital for Children, Mumbai. irashah86@hotmail.com

Intracranial tuberculomas are known to develop during treatment of tuberculous meningitis (TBM). However, they usually develop within weeks or a couple of months after the start of antituberculous therapy (ATT). We present a case of an 18-month-old boy who developed tuberculomas after 9 months of ATT, which subsequently responded to the reintroduction of steroids. Thus, one must keep a watch for neurological deterioration in a child of TBM and if it is due to tuberculomas, one may have to continue steroids and ATT for a long time.

Published 1 June 2005 in J Trop Pediatr, 51(3): 191-3.
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