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Images in Neurology
March 2017

Intracranial Tuberculoma in a Patient With Untreated Human Immunodeficiency Virus

Author Affiliations
  • 1Harvard Medical School, Boston, Massachusetts
  • 2Department of Neurology, Brigham and Women’s Hospital, Boston, Massachusetts
  • 3Department of Neurology, Massachusetts General Hospital, Boston, Massachusetts
JAMA Neurol. 2017;74(3):356-357. doi:10.1001/jamaneurol.2016.3362

A Haitian woman in her 40s presented with generalized seizures during a visit to the United States. She noted 4 months of headaches, fatigue, and a 40-lb weight loss in addition to fevers during the week prior to her presentation. On arrival to the hospital, she had a body temperature of 103°F, was somnolent but arousable to voice, was minimally verbal, and only followed simple commands. Her tone was increased in her right upper extremity. A noncontrast head computed tomography scan revealed an ill-defined mass in the left parietal lobe with edema and mass effect causing midline shift. She started empirical treatment on vancomycin, ceftriaxone, and metronidazole for a possible brain abscess.

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