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KMID : 1201420180110010047
Journal of Neurocritical Care
2018 Volume.11 No. 1 p.47 ~ p.53
Miliary Tuberculosis Mimicking Brain Metastasis from Renal Cell Carcinoma
Ko You-Sang

Mo Eun-Kyung
Park Yong-Bum
Kang Mi-Ri
Bae Jong-Seok
Kim Ye-Rim
Abstract
Background: Miliary tuberculosis (TB) can cause diagnostic confusion for clinicians because its radiological appearance can resemble that of metastatic cancer.

Case Report: Here, we describe the case of a 72-yearold woman with miliary TB mimicking brain metastasis from renal cell carcinoma. The patient visited our clinic because of dysarthria and sluggish speech. A metastatic cancer such as renal cell carcinoma or brain tumor was suspected. However, the patient was diagnosed with miliary TB associated with multiple intracranial tuberculomas and a subsequent paradoxical response to anti-TB therapy.

Conclusions: Clinicians should be aware that miliary TB can mimic metastatic cancer even in older people, especially in TB-endemic regions.
KEYWORD
Tuberculosis, Miliary, Tuberculoma, Intracranial, Brain neoplasms, Neoplasm metastasis
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