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Special Feature
April 2001

Pathological Case of the Month

Author Affiliations

Copyright 2001 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2001

Arch Pediatr Adolesc Med. 2001;155(4):517-518. doi:10.1001/archpedi.155.4.517

A 1-YEAR-OLD BOY had a history of fever, poor feeding, lethargy, and irritability for 1 month. Computed tomographic scans of the head revealed a right infratentorial hyperdense irregular cystic mass with hydrocephalus (Figure 1). Cerebrospinal fluid revealed no leukocytes; protein, 40 g/L; glucose, 4.4 mmol/L (blood glucose, 5.5 mmol/L); and negative findings from Gram stain and sterile culture. A clinical diagnosis of tuberculous meningitis with tuberculoma and hydrocephalus was made. Shunt surgery was performed, but the infant had a cardiac arrest. A brain autopsy was performed (Figure 2, Figure 3, and Figure 4).