Case Report
Year: 2021 | Month: June | Volume: 11 | Issue: 6 | Pages: 145-147
DOI: https://doi.org/10.52403/ijhsr.20210621
Silent Brain Tuberculomas with Acute Miliary Tuberculosis in 13-Year Old Girl - Case Report
Hajric Zidan Zlata1, Pasic Amela2, Selimovic Selma2, Spahic Razija2
1Children's Department, General Hospital Tesanj, Bosnia and Herzegovina
2Clinic for Children's Diseases, University Clinical Center Tuzla, Bosnia and Herzegovina
Corresponding Author: Hajric Zidan Zlata
ABSTRACT
We describe iron deficiency and silent intracranial tuberculomas with pulmonary miliary tuberculosis in 13-year old girl which can be rare seen, particularly in immunocompetent children. She presented as respiratory infection with lack of menstrual bleeding. She didn’t receive BCG vaccination. Chest roentgenogram showed miliary pattern while MRI of brain revealed parenchymal tuberculomas. Empirical 4 antitubercular drug treatments were initiated. Control showed a decrease in size and number of brain tuberculomas. Silent brain tuberculomas with miliary tuberculosis could be rare seen, particularly in immunocompetent children. It remains an open question whether the irregular menstrual bleeding and iron deficiency was associated with the drop of her immunity and increased risk for military tuberculosis.
Key words: BCG vaccination, irregular menstrual bleeding, MRI of endocranium.