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Case Report

An Unusual Case Masquerading Tuberculous Meningitis: A Case Report

Anuradha Garg , Anuradha Garg1 , Bhawna Dubey 2

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Pediatric Education and Research 8(1):p 31-33, January-March 2020. | DOI: https://dx.doi.org/10.21088/per.2321.1644.8120.5

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Anuradha Garg, Bhawna Dubey. An Unusual Case Masquerading Tuberculous Meningitis: A Case Report. Pediatr Edu Res. 2020;8(1): 31–33.

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Abstract

Background: Scrub typhus is known to cause meningitis in children. Literature on neuroimaging findings in scrub typhus is very scarce. Case characteristics: A case of acute meningoencephalitis with raised intracranial tension demonstrated basal meningeal enhancement and ventricular prominence on CECT brain. In view of clinical nonresponsive and CECT findings, antitubercular therapy was started. Subsequently rickettsial serology came out to be positive for Orientia tsutsugamushi; good response was observed to doxycycline. Outcome: Dramatic clinical response to doxycycline was observed favoring a diagnosis of scrub typhus meningitis.

Keywords: Scrub typhus; Tuberculous meningitis; Basal meningeal enhancement.

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Anuradha Garg, Bhawna Dubey. An Unusual Case Masquerading Tuberculous Meningitis: A Case Report. Pediatr Edu Res. 2020;8(1): 31–33.

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DOI: https://dx.doi.org/10.21088/per.2321.1644.8120.5

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