https://scholars.lib.ntu.edu.tw/handle/123456789/514095
標題: | Tuberculous meningitis in a Filipino maid | 作者: | Sheu J.-J. Yuan R.-Y. Lu J.-L. Chung C.-L. CHAO-YU HSU |
關鍵字: | Foreign worker; Tuberculosis; Tuberculous meningitis | 公開日期: | 1999 | 卷: | 98 | 期: | 11 | 起(迄)頁: | 783-786 | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | Tuberculous meningitis, while not uncommon in Taiwan, has not been reported among foreign workers. We report the first case of tuberculous meningitis in a 37-year-old Filipino maid in Taiwan, who presented with headache, fever and vomiting. She had been well before this episode and the small screening films of the chest radiograph obtained on her arrival in Taiwan 15 months previously, and every 6 months thereafter showed no evidence of tuberculosis. The suspicion of tuberculous meningitis was delayed until disturbance of consciousness manifested and a standard chest radiograph showed a diffuse miliary pattern in both lung fields. A cerebrospinal fluid sample that was sent for a polymerase chain reaction-based assay specific for Mycobacterium tuberculosis showed a positive result. The patient recovered with sequelae of mildly incoherent speech and urinary incontinence after antituberculous medication and short-course steroid treatment. Clinicians should be aware of the possibility of tuberculous meningitis in foreign workers with complaints of fever and headache. Because high-quality chest radiographs are a prerequisite for early detection of pulmonary tuberculosis, we recommend that standard posterior-anterior chest radiographs should be obtained as part of the routine health examination for foreign workers. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/514095 | ISSN: | 0929-6646 | SDG/關鍵字: | adult; article; case report; cultural factor; early diagnosis; female; fever; foreign worker; headache; human; medical examination; Mycobacterium tuberculosis; thorax radiography; tuberculous meningitis; vomiting; Aged; Female; Humans; Taiwan; Tuberculosis, Meningeal |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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