Answer of November 1998

Clinical History:

F/26. Vomiting and acute confusion for 2 weeks. GCS 10/15 on admission. Died after 1 week.

Figure 1 CT brain
Figure 2 Contrast enhanced CT brain
Figure 3 CXR

What is your diagnosis?

                            Figure 1                                                                Figure 2

                            Figure 3                                                                  Figure 4

Diagnosis:

TUBERCULOUS MENINGITIS

Discussion:

Figure 1 CT showed hydrocephalus.

Figure 2 CECT basal enhancement not prominent.

Figure 3 CXR showed consolidation in posterior basal segment of left lower lobe.

Figure 4 Post-mortem showed TB meningitis with endarteritis and thrombosis, abscess in left lower lobe and miliary TB in lung.