3 380

Cited 0 times in

Disseminated tuberculosis with multiple intracerebral tuberculomas in a patient with anorexia nervosa

Authors
 Jung Yong Ahn  ;  Jong Hee Chang  ;  Won Joo Kim  ;  Keun Su Kim 
Citation
 INTERNATIONAL JOURNAL OF EATING DISORDERS, Vol.40(3) : 288-291, 2007 
Journal Title
 INTERNATIONAL JOURNAL OF EATING DISORDERS 
ISSN
 0276-3478 
Issue Date
2007
MeSH
Adult ; Anorexia Nervosa/complications ; Anorexia Nervosa/diagnosis ; Anorexia Nervosa/immunology* ; Female ; Humans ; Immunocompromised Host* ; Magnetic Resonance Imaging ; Tuberculoma, Intracranial/complications ; Tuberculoma, Intracranial/diagnosis ; Tuberculoma, Intracranial/immunology* ; Tuberculoma, Intracranial/therapy ; Tuberculosis/complications ; Tuberculosis/diagnosis ; Tuberculosis/immunology* ; Tuberculosis/therapy
Keywords
tuberculosis ; tuberculoma ; malnutrition ; anorexia nervosa
Abstract
OBJECTIVE: Multiple tuberculous mycobacterial infections infrequently occur in immunocompromised patients. The malnutrition resulted from anorexia nervosa may contribute to the significant impairment of immunity. The authors present a 23-year-old female patient initially diagnosed with anorexia nervosa. METHOD: Immunological study revealed that helper T-cell (CD4) and cytotoxic T-cell (CD8) comprised 25 and 32%, respectively, with a CD4 to CD8 ratio of 0.78. Brain magnetic resonance imaging revealed various multiple rings enhancing lesions with edematous change in both cerebral and cerebellar hemispheres. RESULTS: Open biopsy disclosed palisading epithelioid granuloma surrounded by inflamed granulation tissue. After anti-tuberculous therapy for 12 months, her weight was completely restored, but multiple intracranial tuberculomas were not completely disappeared. CONCLUSION: Disseminated tuberculous mycobacterial infections including multiple intracranial tuberculomas may be attributed to immunocompromised status in anorexia nervosa.
Full Text
http://onlinelibrary.wiley.com/doi/10.1002/eat.20368/abstract
DOI
10.1002/eat.20368
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurology (신경과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Keun Su(김근수) ORCID logo https://orcid.org/0000-0002-3384-5638
Kim, Won Joo(김원주) ORCID logo https://orcid.org/0000-0002-5850-010X
Ahn, Jung Yong(안정용)
Chang, Jong Hee(장종희) ORCID logo https://orcid.org/0000-0003-1509-9800
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/96159
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links