Papilledema secondary to tuberculous meningitis in a patient with type 1 diabetes mellitus

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• 作者：J.P. Caire Est茅vez ; S. Gonz谩lez-Ocampo Dorta ; P. Sanz Solana
• 关键词：Papilledema ; Tuberculous meningitis ; Diabetes mellitus ; Polymerase chain reaction ; Undeveloped countries
• 刊名：Archivos de la Sociedad Espa?ola de Oftalmolog篓陋a (English Edition)
• 出版年：October, 2013
• 年：2013
• 卷：88
• 期：10
• 页码：403-406
• 全文大小：2181 K

文摘

Case report

The case is presented of a 29-year-old woman who complained of headache over a period of several days, with loss of visual acuity and pain in her left eye. She had a 3-year history of type 1 diabetes mellitus, and was an immigrant from Ecuador. The funduscopic examination revealed a papilledema. The polymerase chain reaction (PCR) study of the cerebrospinal fluid was positive for Mycobacterium tuberculosis (MTB). She showed a marked improvement after treatment with anti-TB drugs.

Discussion

About a third of the world's population has a latent infection of MTB; comorbidity between diabetes mellitus and tuberculosis has been reported, particularly in undeveloped countries.