Multiple intracranial tuberculomas in an elderly patient: A central nervous system tuberculosis case in the emergency department

Abstract

Key Clinical Message A 67‐year‐old male presented to the emergency department with a 7‐day history of fever, malaise, myalgia, headache, and a seizure episode. Physical examination showed stable vital signs but a fever. Laboratory tests indicated leukocytosis, anemia, thrombocytosis, and elevated inflammatory markers. Imaging revealed multiple intracranial lesions, and cerebrospinal fluid analysis confirmed the presence of acid‐fast bacilli. The patient responded well to anti‐tuberculosis therapy, showing significant clinical improvement within 8 weeks.

Keywords

• central nervous system
• tuberculosis
• intracranial tuberculoma
• Iran
• tuberculosis