Solitary intracranial tuberculoma mimicking a malignant tumor in a patient without tubercular lesions or a history of disease: A case report

Cerebral tuberculoma is a rare cause of intracranial mass. In Latin America and Colombia where tuberculosis is endemic, it represents between 5 and 30% of brain tumours. A 53-year-old Colombian woman was admitted to a third-level hospital in Cali, Colombia, after reporting loss of consciousness, hea...

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Autores:
Sua, Luz Fernanda
Tipo de recurso:
Article of investigation
Fecha de publicación:
2013
Institución:
Universidad ICESI
Repositorio:
Repositorio ICESI
Idioma:
eng
OAI Identifier:
oai:repository.icesi.edu.co:10906/78490
Acceso en línea:
http://www.scopus.com/inward/record.url?eid=2-s2.0-84883793053&partnerID=tZOtx3y1
http://old.bjbms.org/archives/2013-2/11-Bustamante.pdf
http://hdl.handle.net/10906/78490
Palabra clave:
Ciencias socio biomédicas
Ciencias socio biomédicas
Medical sciences
Medical sciences
Rights
openAccess
License
https://creativecommons.org/licenses/by-nc-nd/4.0/
Description
Summary:Cerebral tuberculoma is a rare cause of intracranial mass. In Latin America and Colombia where tuberculosis is endemic, it represents between 5 and 30% of brain tumours. A 53-year-old Colombian woman was admitted to a third-level hospital in Cali, Colombia, after reporting loss of consciousness, headache, paresthesia, and flight of ideas for a two-week period. Imaging studies showed a left frontal mass of malignant appearance whose first possible diagnosis was metastatic neoplasiaorglioma. With the initial results, absence of history of chronic infectious diseases and a history of thyroidectomy, a surgical procedure was carried out and a histopathological and molecular evaluation was conducted. The pathology report noted necrotizing granulomatous inflammation and tissue staining and molecular tests for detection of M. tuberculosis were positive and the patient was managed with anti-tubercular treatment. Intracranial masses are frequently targeted as a malignant neoplastic disease for surgical treatment. Considering an infectious etiology must be a diagnostic option. © 2013 Association of Basic Medical Sciences of FB&H.