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Çocuklarda santral sinir sistemi tüberkülozu oldukça nadir görülmekle birlikte tüberküloza bağlı ölüm ve uzun dönem sekellerin en sık sebebidir. BCG aşısının hastaları tüberküloz menenjitinden yüksek oranda koruduğu bilinmekle birlikte yaş ile birlikte koruyuculuğu azalmaktadır. Hastalıkta etken her zaman gösterilememekte, tanı ancak hikâye, fizik muayene, laboratuvar ve görüntüleme yöntemlerinin birlikte değerlendirilmesi ile konulabilmektedir. Hastalığın prognozu ise erken tanı ve anti-tüberküloz tedavinin başlanma zamanıyla doğrudan ilişkilidir. Serebral enfarkt ile seyreden santral sinir sistemi tüberkülozu vakası erken tanı ve tedavinin vurgulanması amacıyla sunulmuştur.
Tuberculosis of the central nervous system in children is quite rare but is the cause of death and long-term tuberculosis. Although BCG vaccine is known to protect patients from tuberculosis meningitis at a high level, its protection is reduced with age. The factor in the disease is not always shown, the diagnosis can only be placed by the joint assessment of the story, physical examination, laboratory and imaging methods. The prognosis of the disease is directly related to the time of early diagnosis and the start of anti-tuberculosis treatment. The central nervous system, seen with heart attack, has been presented in order to emphasize early diagnosis and treatment of the case of tuberculosis.
Although central nervous system tuberculosis is very rare in children, it is the most common cause of tuberculosis-related death and long-term sequela. The BCG vaccine is known to protect patients with high rates of tuberculosis meningitis, but its protection decreases with age. The pathogen of the disease can not always be proven, the diagnosis can only made by the evaluation of the story, physical examination, laboratory and imaging methods together. The prognosis of the disease is directly related to early diagnosis and the time of initiation of anti-tuberculosis treatment. Central nervous system tuberculosis case with cerebral infarction is presented for the purpose of emphasizing early diagnosis and treatment.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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