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BMJ Case Rep. 2010; 2010: bcr10.2009.2370.
Published online Mar 17, 2010. doi:  10.1136/bcr.10.2009.2370
PMCID: PMC3028151
Unusual presentation of more common disease/injury
Tubercular abscess of pons in a child with quadriparesis
Rajniti Prasad,1 Narendra Kumar Bagri,2 Neha Bagri,3 Utpal Kant Singh,4 and Om Prakash Mishra5
1Institute of Medical Sciences, Pediatrics, 7FF, Kabir Colony, Bhu, Varanasi, 221005, India
2Institute of Medical Sciences, Pediatrics, Department of Pediatrics, Ims, Bhu, Varanasi, 221005, India
3Institute of Medical Sciences, Radiodiagnosis, Ims, Bhu, Varanasi, 221005, India
4Nalanda Medical College, Pediatrics, 8 Rajendra Nagar, Patna, Bihar, 800013, India
5Institute of Medical Sciences, Banaras Hindu University, 12 GF, Kabir Colony, Bhu, Varanasi, 221005, India
Correspondence to Rajniti Prasad, rajnitip/at/gmail.com
Abstract
Tuberculous brain abscess is a rare manifestation of tuberculosis of the central nervous system. We report a case of a 6-year-old girl with a pontine tuberculous abscess, who presented with fever and quadriparesis and recovered completely after stereotactic aspiration and antituberculous treatment with four drugs (isoniazid, rifampicin, pyrazinamide, and ethambutol). Tuberculous abscess was confirmed based on findings of magnetic resonance imaging, a positive tuberculin test, and the presence of acid fast bacilli in smear and culture of abscess aspirate.
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