a Case of COVID-19 and Tuberculous Meningitis Coinfection
Abstract
Neurological symptoms like headache have been reported in patients infected with tuberculosis (TB) and COVID-19 infection [1]. A high index of suspicions is necessary for diagnosing of COVID-19 and neurologic tuberculous coinfection, particularly in the communities at high risk for TB or in an endemic region. Herein, we report a case of a 60-year-old man diagnosed with acute COVID-19 and tuberculous meningitis coinfection, to emphasize challenges about this coinfection, because underlying lung diseases like latent TB will affect the clinical categorization (for severity) of COVID-19, and then active TB disease may severe illness.
1. Ata, F., et al., A 28-Year-Old Man from India with SARS-Cov-2 and Pulmonary Tuberculosis Co-Infection with Central Nervous System Involvement. Am J Case Rep. 2020 Aug 19;21:e926034. https://doi.org/10.12659/AJCR.926034
2. Yousaf, Z., et al., Cavitary pulmonary tuberculosis with COVID-19 coinfection: IDCases. 2020;22:e00973. https://doi. org/10.1016/j.idcr.2020.e00973. Epub 2020 Sep 28.
3. Kumar, D.R., et al., COVID-19 and TB co-infection - ‘Finishing touch’’ in perfect recipe to ‘severity’ or ‘death’: J Infect. 2020 Sep;81(3):e39-e40. https://doi.org/10.1016/j.jinf.2020.06.062. Epub 2020 Jun 29.
4. Song, W.M., et al., COVID-19 and Tuberculosis Coinfection: An Overview of Case Reports/Case Series and Meta-Analysis: Front Med (Lausanne). 2021 Aug 24;8:657006. https://doi. org/10.3389/fmed.2021.657006. eCollection 2021.
5. Nadershahbaz, M., et al., COVID-19-infected woman along with tuberculosis and psychogenic non-epileptic seizures: A case report: Clin Case Rep. 2021 Oct 24;9(10):e04964. https://doi. org/10.1002/ccr3.4964. eCollection 2021 Oct.
6. Mishra A, et al., Tuberculosis and COVID-19 Co-infection: An Updated Review. Acta Biomed. 2020. 92(1): p. e2021025.
7. Treatment of Tuberculosis: Guidelines. 4th ed. Geneva: World Health Organization; 2010. PMID: 23741786.
8. Carod-Artal, F.J., Neurological complications of coronavirus and COVID-19. Rev Neurol. 2020 May 1;70(9):311-322. https://doi. org/10.33588/rn.7009.2020179.
9. Spence DP, et al., Tuberculosis and poverty. British Medical Journal, 1993. 307: p. 759. https://doi.org/10.1136/ bmj.307.6907.759
10. Farinha, N.J., et al., Tuberculosis of the central nervous system in children: a 20-year survey. J Infect. 2000 Jul;41(1):61-8. https://doi.org/10.1053/jinf.2000.0692
11. Prasad, K., M.B. Singh, and H. Ryan, Corticosteroids for managing tuberculous meningitis. Cochrane Database Syst Rev. 2016 Apr 28;4(4):CD002244. https://doi.org/10.1002/14651858. CD002244.pub4. CD002244.pub4.
12. Guo, W., et al., Diabetes is a risk factor for the progression and prognosis of COVID-19. Diabetes Metab Res Rev. 2020 Mar 31:e3319. https://doi.org/10.1002/dmrr.3319.
13. Ramakrishna, R., et al., Inpatient and outpatient case prioritization for patients with neuro-oncologic disease amid the COVID-19 pandemic: general guidance for neuro-oncology practitioners from the AANS/CNS Tumor Section and Society for Neuro-Oncology. J Neurooncol. 2020 May;147(3):525-529. https://doi.org/10.1007/s11060-020-03488-7. Epub 2020 Apr 9.
2. Yousaf, Z., et al., Cavitary pulmonary tuberculosis with COVID-19 coinfection: IDCases. 2020;22:e00973. https://doi. org/10.1016/j.idcr.2020.e00973. Epub 2020 Sep 28.
3. Kumar, D.R., et al., COVID-19 and TB co-infection - ‘Finishing touch’’ in perfect recipe to ‘severity’ or ‘death’: J Infect. 2020 Sep;81(3):e39-e40. https://doi.org/10.1016/j.jinf.2020.06.062. Epub 2020 Jun 29.
4. Song, W.M., et al., COVID-19 and Tuberculosis Coinfection: An Overview of Case Reports/Case Series and Meta-Analysis: Front Med (Lausanne). 2021 Aug 24;8:657006. https://doi. org/10.3389/fmed.2021.657006. eCollection 2021.
5. Nadershahbaz, M., et al., COVID-19-infected woman along with tuberculosis and psychogenic non-epileptic seizures: A case report: Clin Case Rep. 2021 Oct 24;9(10):e04964. https://doi. org/10.1002/ccr3.4964. eCollection 2021 Oct.
6. Mishra A, et al., Tuberculosis and COVID-19 Co-infection: An Updated Review. Acta Biomed. 2020. 92(1): p. e2021025.
7. Treatment of Tuberculosis: Guidelines. 4th ed. Geneva: World Health Organization; 2010. PMID: 23741786.
8. Carod-Artal, F.J., Neurological complications of coronavirus and COVID-19. Rev Neurol. 2020 May 1;70(9):311-322. https://doi. org/10.33588/rn.7009.2020179.
9. Spence DP, et al., Tuberculosis and poverty. British Medical Journal, 1993. 307: p. 759. https://doi.org/10.1136/ bmj.307.6907.759
10. Farinha, N.J., et al., Tuberculosis of the central nervous system in children: a 20-year survey. J Infect. 2000 Jul;41(1):61-8. https://doi.org/10.1053/jinf.2000.0692
11. Prasad, K., M.B. Singh, and H. Ryan, Corticosteroids for managing tuberculous meningitis. Cochrane Database Syst Rev. 2016 Apr 28;4(4):CD002244. https://doi.org/10.1002/14651858. CD002244.pub4. CD002244.pub4.
12. Guo, W., et al., Diabetes is a risk factor for the progression and prognosis of COVID-19. Diabetes Metab Res Rev. 2020 Mar 31:e3319. https://doi.org/10.1002/dmrr.3319.
13. Ramakrishna, R., et al., Inpatient and outpatient case prioritization for patients with neuro-oncologic disease amid the COVID-19 pandemic: general guidance for neuro-oncology practitioners from the AANS/CNS Tumor Section and Society for Neuro-Oncology. J Neurooncol. 2020 May;147(3):525-529. https://doi.org/10.1007/s11060-020-03488-7. Epub 2020 Apr 9.
| Files | ||
| Issue | Vol 7 No 6 (2022): November-December | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/crcp.v7i6.12269 | |
| Keywords | ||
| Tuberculous meningitis COVID-19 Headache | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Ashraf Talesh S, Zare S, Hadadi A. a Case of COVID-19 and Tuberculous Meningitis Coinfection. CRCP. 2023;7(6):275-279.
