Tuberculosis Related Ischemic Stroke : A Case Report

Rizaldy Taslim Pinzon (Neurology Department, Duta Wacana Christian University School of Medicine, Yogyakarta, Indonesia)
Veren Amoreta Vidyatama (Department of Medicine, Faculty of Medicine, Duta Wacana Christian University. Jl. Dr. Wahidin Sudirohusodo No.5 - 25, Kotabaru, Gondokusuman, Yogyakarta City, Special Region of Yogyakarta 55224)

Jurnal Profesi Medika: Jurnal Kedokteran dan Kesehatan
Vol 17 No 1 (2023): Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan

Tuberculosis (TB) is a widespread infectious disease caused by Mycobacterium Tubercle Bacilli. In 15-20 % cases of active pulmonary TB, infection spreads to extrapulmonary foci, including the nervous system complications. Ischemic stroke related tuberculosis without meningitis is rare. We report a 74-year-old female presented with rapid onset confusion, unconsciousness, and left hemiparesis. She had been recently diagnosed with active TB 3 months ago and treated with combination anti tuberculosis regiment. Her recent acute neurological manifestations began within 24 hours prior to admission in the hospital. The brain CT showed  middle cerebral artery territory infarction. The risk factors tracing found no significant abnormality. The only abnormal finding was high CRP. This report describes rare case of a patient with active TB and who presented with acute ischemic stroke.