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Eur J Clin Microbiol Infect Dis. 2008 Mar;27(3):233-6. Epub 2007 Nov 22.

Tuberculous meningoencephalitis in a pregnant woman presenting 7 years after removal of a cerebral granuloma.

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  • 1Division of Infectious Diseases, San Francisco General Hospital, University of California, 1001 Potrero Avenue, San Francisco, CA 94110, USA.


We describe the unusual case of a young woman with a history of seizures and a granulomatous, likely tuberculous brain lesion that was surgically removed. She had an uneventful recovery without any additional therapy other than anti-epileptics. Seven years later, she presented during pregnancy with culture-confirmed tuberculous meningoencephalitis. This case highlights the spectrum of tuberculous central nervous system disease and the challenges in diagnosis.

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