Abstract

Miliary brain tuberculosis (TB) is a rare and highly lethal clinical form resulting from the extensive lymphohematogenous spread of Mycobacterium tuberculosis. Widespread brain involvement often suggests immunosuppression. However, cases have been reported in immunocompetent adults. Prognosis depends largely on prompt diagnosis and initiation of treatment. This case report presents an immunocompetent adult with miliary pulmonary TB diagnosed by bronchoalveolar lavage (BAL) fluid analysis and diffuse brain tuberculomas on brain magnetic resonance imaging (MRI).

Keywords: adult, immunocompetent, miliary tuberculosis, tuberculoma

Copyright and license

Copyright © 2025 The Author(s). This is an open-access article published by Bolu İzzet Baysal Training and Research Hospital under the terms of the Creative Commons Attribution License (CC BY) which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is properly cited.

How to cite

1.
Doğan A, Gözdaş HT, Bal T, Şahin SB. Multiple cranial tuberculomas with meningitis and miliary tuberculosis in an immunocompetent adult. Northwestern Med J. 2025;5(2):127-31. https://doi.org/10.54307/2025.NWMJ.98

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