Evidence map›Paper›PMID 39165302›Full record

ArticleSAGE open medical case reports2024

Diagnostic delay in ankle and foot tuberculosis resulting in tuberculoma and tuberculous meningitis in a middle-aged female: A case report.

Hedwiga F Swai, Sibtain M Moledina, Sylvia B Nsato, Amina Mgunya, Joan Rugemalila, Veridiana Byemelwa, Sharon Ismail, Pauline Chale, Luth Mwapule, Alex Masao and 15 more

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In one paragraph

Article in SAGE open medical case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

25 authors.

Hedwiga F SwaiDepartment of Internal Medicine, Muhimbili National Hospital, Dar es Salaam, Tanzania.
Sibtain M MoledinaDepartment of Internal Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.ORCID https://orcid.org/0000-0001-5100-2872
Sylvia B NsatoRadiology Department, Muhimbili National Hospital, Dar es Salaam, Tanzania.
Amina MgunyaDepartment of Internal Medicine, Muhimbili National Hospital, Dar es Salaam, Tanzania.
Joan RugemalilaRadiology Department, Muhimbili National Hospital, Dar es Salaam, Tanzania.
Veridiana ByemelwaDepartment of Internal Medicine, Muhimbili National Hospital, Dar es Salaam, Tanzania.
Sharon IsmailDepartment of Internal Medicine, Muhimbili National Hospital, Dar es Salaam, Tanzania.
Pauline ChaleDepartment of Internal Medicine, Muhimbili National Hospital, Dar es Salaam, Tanzania.
Luth MwapuleDepartment of Internal Medicine, Muhimbili National Hospital, Dar es Salaam, Tanzania.
Alex MasaoDepartment of Internal Medicine, Muhimbili National Hospital, Dar es Salaam, Tanzania.
Jude TarimoDepartment of Internal Medicine, Muhimbili National Hospital, Dar es Salaam, Tanzania.
Amunga MedaDepartment of Internal Medicine, Muhimbili National Hospital, Dar es Salaam, Tanzania.
Fatuma MuhaliDepartment of Internal Medicine, Muhimbili National Hospital, Dar es Salaam, Tanzania.
May ShooDepartment of Internal Medicine, Muhimbili National Hospital, Dar es Salaam, Tanzania.
Eva UisoDepartment of Internal Medicine, Muhimbili National Hospital, Dar es Salaam, Tanzania.
Stella RwezauraDepartment of Internal Medicine, Muhimbili National Hospital, Dar es Salaam, Tanzania.
Eliaichi MinjaDepartment of Internal Medicine, Muhimbili National Hospital, Dar es Salaam, Tanzania.
Deogratius BedaDepartment of Internal Medicine, Muhimbili National Hospital, Dar es Salaam, Tanzania.
Sarah K NyagabonaDepartment of Internal Medicine, Muhimbili National Hospital, Dar es Salaam, Tanzania.
Onesmo KisangaDepartment of Internal Medicine, Muhimbili National Hospital, Dar es Salaam, Tanzania.
Sayan SaleheDepartment of Internal Medicine, Muhimbili National Hospital, Dar es Salaam, Tanzania.
Faraja ChiwangaDepartment of Internal Medicine, Muhimbili National Hospital, Dar es Salaam, Tanzania.
Said MwembaDepartment of Internal Medicine, Muhimbili National Hospital, Dar es Salaam, Tanzania.
John RwegashaDepartment of Internal Medicine, Muhimbili National Hospital, Dar es Salaam, Tanzania.
Grace ShayoDepartment of Internal Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A middle-aged woman presents with chronic foot arthritis which progressed to a non-healing ulcer, which was unresponsive to conventional antibiotics and debridement. She then developed cerebral manifestations and was empirically treated with antitubercular medications which led to healing of the ulcer. Unfortunately, delays in initiating treatment resulted in development of other extrapulmonary tuberculosis complications such as cerebral tuberculoma with tuberculous meningitis. She was subsequently diagnosed with neurocysticercosis which continued to worsen during her hospital stay. She eventually succumbed to her illness due to the complications and a possible nosocomial infection. This case highlights the challenges with diagnosis of uncommon presentations of common diseases in an endemic area, leading to diagnostic delays and development of serious complications.

Indexed as

ankle and foot tuberculosisExtrapulmonary tuberculosistuberculomatuberculous meningitis

Identifiers

PMID39165302
PMCPMC11334117

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.