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ISSN: 0031-3939
Pediatria Polska - Polish Journal of Paediatrics
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4/2020
vol. 95
 
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abstract:
Case report

Hyponatraemia as the leading symptom of tuberculous meningitis in a 14-month-old girl

Ewa Błaszczyk
1
,
Małgorzata Firek-Pędras
1
,
Joanna Sordyl
1
,
Elżbieta Berdej-Szczot
1
,
Magdalena Machnikowska-Sokołowska
2
,
Katarzyna Gruszczyńska
2
,
Ewa Czerwińska
3

  1. Department of Pediatrics and Pediatric Endocrinology, Faculty of Medical Sciences in Katowice, Medical University of Silesia in Katowice, Poland
  2. Department of Imaging Diagnostics, Department of Radiology and Nuclear Medicine, Faculty of Medical Sciences in Katowice, Medical University of Silesia in Katowice, Poland
  3. Department of Paediatrics and Infectious Diseases, Wroclaw Medical University, Wroclaw, Poland
DOI: https://doi.org/10.5114/polp.2020.103492
Online publish date: 2021/01/30
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Tuberculous meningitis (TBM) is a rare form of tuberculosis (TB), however can lead to severe neurological deficits or even to death. TBM remains a diagnostic challenge because of nonspecific symptoms and subacute course. However, it is worth remembering hyponatraemia is a relatively common symptom in neuroinfections, especially in TBM. We report the case of 14-month-old girls admitted to hospital with fever, vomiting and loose stools, with persistent laboratory hyponatraemia. Despite the initial lack of specific symptoms and history suggesting contact with person suffering from TB, the TBM was recognized in the first phase of the disease before evident symptoms of the central nervous system.
keywords:

CSWS, SIADH, tuberculous encephalitis, head MRI