Case report: Hydrocephalus in tuberculous meningitis patient with HIV

Authors

  • Belinda Layrenshia Tarumanagara University
  • Martin Firman Suryo Royal Taruma Hospital

DOI:

https://doi.org/10.32670/ht.v3i2.4177

Keywords:

Tuberculosis, Meningitis, HIV, Hydrocephalus

Abstract

Meningitis is defined as inflammation of the membranes of the brain and spinal cord that can be caused by various causes, including tuber-culosis. Approximately 1% of tuberculosis patients develop tuberculous meningitis. Hydrocephalus is one of the complications of tuberculous meningitis characterized by the accumulation of intracranial cerebrospi-nal fluid (CSF) under pressure. In this report, we describe a 32-year-old man whose chief complaint was severe headache. The patient reported irritability and also had fever. Meningeal excitatory signs were positive in the patient. It was known that the patient was a human immunode-ficiency virus (HIV) patient with tuberculous meningitis. After several days of hospitalization, the patient developed hydrocephalus. The pa-tient had tuberculous meningitis, which caused hydrocephalus as a complication, coupled with his HIV-positive status. The patient received appropriate medical treatment and underwent a ventriculoperitoneal (VP) shunt procedure, which resulted in symptomatic improvement thereafter.

References

Aksamit, A. J., & Berkowitz, A. L. (2021). Meningitis. In CONTINUUM Lifelong Learning in Neu-rology (Vol. 27, Issue 4). https://doi.org/10.1212/CON.0000000000001016

Aranha, A., Choudhary, A., Bhaskar, S., & Gupta, L. (2018). A randomized study comparing endoscopic third ventriculostomy versus ventriculoperitoneal shunt in the manage-ment of hydrocephalus due to tuberculous meningitis. Asian Journal of Neurosurgery, 13(04). https://doi.org/10.4103/ajns.ajns_107_18

Berkowitz, A. L. (2022). Meningitis. In Clinical Neurology & Neuroanatomy: A Localization-Based Approach (2nd ed.). McGraw Hill.

Cui, H., He, G., Yang, S., Lv, Y., Jiang, Z., Gang, X., & Wang, G. (2019). Inappropriate Antidiu-retic Hormone Secretion and Cerebral Salt-Wasting Syndromes in Neurological Pa-tients. In Frontiers in Neuroscience (Vol. 13). https://doi.org/10.3389/fnins.2019.01170

Davis, A., Meintjes, G., & Wilkinson, R. J. (2018). Treatment of Tuberculous Meningitis and Its Complications in Adults. In Current Treatment Options in Neurology (Vol. 20, Issue 3). https://doi.org/10.1007/s11940-018-0490-9

Farag, A. A., Asiri, F. A., Khoudir, M. A., Ismaeel, M., Hamouda, W., Alaghory, I. M., & Moshref, R. H. (2022). Endoscopic third ventriculostomy complications: avoidance and management in a stepwise manner. Egyptian Journal of Neurosurgery, 37(1). https://doi.org/10.1186/s41984-022-00166-w

Garg, K., & Gupta, D. (2021). Post-Infective Hydrocephalus. In Neurology India (Vol. 69, Issue 8). https://doi.org/10.4103/0028-3886.332273

Hersi, K., Gonzalez, F. J., Kondamudi, N. P., & Sapkota, R. (2021). Meningitis. In StatPearls.

Imran, D., Estiasari, R., & Maharani, K. (2022). Infeksi Tuberkulosis Pada Susunan Saraf Pusat. In Buku Ajar Neurologi (2nd ed., Vol. 2, pp. 1039–1047).

Kaur, H., Betances, E. M., & Perera, T. B. (2022). Aseptic Meningitis. StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK557412/#article-24964.s2

Kurniawan, A., & Zulfariansyah, A. (2020). Tatalaksana Pasien Post Ventriculo Peritoneal (VP) Shunt et causa Meningitis disertai Aspirasi Pneumonia dan Gagal Napas di Ru-ang Rawat Intensif. Jurnal Neuroanestesi Indonesia, 9(2). https://doi.org/10.24244/jni.v9i2.245

Lele, A. V., Hoefnagel, A. L., Schloemerkemper, N., Wyler, D. A., Chaikittisilpa, N., Vavilala, M. S., Naik, B. I., Williams, J. H., Raghavan, L. V., & Koerner, I. P. (2017). Periopera-tive management of adult patients with external ventricular and lumbar drains: Guidelines from the society for neuroscience in anesthesiology and critical care. In Journal of Neurosurgical Anesthesiology (Vol. 29, Issue 3). https://doi.org/10.1097/ANA.0000000000000407

Manyelo, C. M., Solomons, R. S., Walzl, G., & Chegou, N. N. (2021). Tuberculous meningitis: Pathogenesis, immune responses, diagnostic challenges, and the potential of bi-omarker-based approaches. In Journal of Clinical Microbiology (Vol. 59, Issue 3). Amer-ican Society for Microbiology. https://doi.org/10.1128/JCM.01771-20

Meningitis. (2023, April 17). World Health Organization. https://www.who.int/news-room/fact-sheets/detail/meningitis

Moradi, G., Zahraei, S. M., Khazaei, Z., Mohammadi, P., Hemmatpour, S., Hajibagheri, K., Azimian, F., Naemi, H., & Goodarzi, E. (2021). Epidemiology incidence and geograph-ical distribution of Meningitis using GIS and its incidence prediction in Iran in 2021. Medical Journal of the Islamic Republic of Iran, 35(1). https://doi.org/10.47176/mjiri.35.110

Nataprawira, H. M., Gafar, F., Risan, N. A., Wulandari, D. A., Sudarwati, S., Marais, B. J., Stevens, J., Alffenaar, J. W. C., & Ruslami, R. (2022). Treatment Outcomes of Child-hood Tuberculous Meningitis in a Real-World Retrospective Cohort, Bandung, Indo-nesia. Emerging Infectious Diseases, 28(3). https://doi.org/10.3201/eid2803.212230

Pormohammad, A., Nasiri, M. J., Riahi, S. M., & Fallah, F. (2018). Human immunodeficiency virus in patients with tuberculous meningitis: systematic review and meta-analysis. In Tropical Medicine and International Health (Vol. 23, Issue 6, pp. 589–595). Blackwell Publishing Ltd. https://doi.org/10.1111/tmi.13059

Ropper, A. H., Samuels, M. A., Klein, J. P., & Prasad, S. (2019). Adams and Victor’s Principles of Neurology (11th ed.). McGraw Hill.

Sunderland, G., Ellenbogen, J., & Mallucci, C. (2023). Hydrocephalus. In Pediatric Surgery: Diagnosis and Management. https://doi.org/10.1007/978-3-030-81488-5_40

Vasudeva, S. S. (2023, November 1). Meningitis. Medscape.

Yiek, S.-H., & Wong, A. S.-H. (2022). Challenges and Controversies in the Management of Tuberculous Meningitis with Hydrocephalus: A Systematic Review and Sarawak Insti-tution’s Experience. Asian Journal of Neurosurgery, 17(02). https://doi.org/10.1055/s-0042-1750781

Yu, Y. (2022, November 22). Bacterial Meningitis: Clinical Findings. Calgary Guide. https://calgaryguide.ucalgary.ca/bacterial-meningitis-clinical-findings/

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Published

2024-02-25

How to Cite

Layrenshia, B., & Suryo, M. F. (2024). Case report: Hydrocephalus in tuberculous meningitis patient with HIV. Humantech : Jurnal Ilmiah Multidisiplin Indonesia, 3(2), 195–204. https://doi.org/10.32670/ht.v3i2.4177