2003 issue 3

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Volume 12, issue 3

Case report

A hallucinatory-delusional syndrome in the course of tuberculous neuroinfection in a 14-year-old girl

Małgorzata Janas-Kozik1,2, Irena Krupka-Matuszczyk2, KATARZYNA WOJACZYŃSKA-STANEK3, BARBARA SZWED-BIAŁOŻYT3, DOROTA BURZAWA1, BEATA TATROCKA1, MACIEJ MATUSZCZYK2
1. Centrum Pediatrii im. Jana Pawła II w Sosnowcu-Klimontowie
2. Katedra i Klinika Psychiatrii i Psychoterapii Śląskiej Akademii Medycznej w Katowicach
3. Kliniki Neurologii Wieku Rozwojowego Katedry Pediatrii Śląskiej Akademii Medycznej w Katowicach
Postępy Psychiatrii i Neurologii, 2003, 12 (3), 357-362
Keywords: tuberculosis, hallucinatory-delusional syndrome, complications of post-tuberculous cerebrospinal meningitis

Abstract

Aims – Despite compulsory preventive vaccinations tuberculous infections have not been filly eliminated. Atypical infections with tubercle bacillus may present a varied clinical picture. Various mental disorders associated with tuberculous infection of the cerebrospinal meninges and the brain, have been reported.

Case – In the reported case of a 14-year-old girl the onset of symptoms of an intermittent hallucinatory-delusional syndrome was due to neuroinfection of a specific (tuberculous) etiology.

Commentary – The authors emphasize diagnostic difficulties, doubts in the interpretation of laboratory test results, and involvement of a wide range of specialists in the care provided to this patient.

Address for correspondence:
Dr Małgorzata Janas-Kozik, Oddział Psychiatrii Wieku Rozwojowego Centrum Pediatrii im. Jana Pawła II, ul. Zapolskiej 3, 42-550 Sosnowiec