[Recurrent vomiting and headaches in a 26-year-old male patient]

Internist (Berl). 2019 Jul;60(7):756-760. doi: 10.1007/s00108-019-0597-4.
[Article in German]


This article reports the case of a 26-year-old male patient with recurrent emesis and headache due to central nervous system tuberculosis. The thoracic computed tomography showed bilateral disseminated pulmonary micronodular infiltrates and a cavern connecting to the bronchial system. The cranial magnetic resonance imaging showed multiple supratentorial and infratentorial microabscesses with concomitant meningitis. Mycobacterium tuberculosis was detected in sputum, bronchoalveolar lavage and cerebrospinal fluid. The patient received first-line antituberculous drug treatment, including streptomycin (instead of ethambutol) and adjuvant prednisolone.

Keywords: Antituberculous drugs; Encephalitis; Mycobacterium tuberculosis; Tuberculosis, central nervous system; Tuberculosis, meningeal.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Antitubercular Agents / therapeutic use
  • Bronchoalveolar Lavage
  • Cerebrospinal Fluid / microbiology
  • Ethambutol / therapeutic use
  • Headache / etiology*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Mycobacterium tuberculosis / isolation & purification*
  • Sputum / microbiology
  • Tomography, X-Ray Computed
  • Tuberculosis / diagnosis*
  • Tuberculosis / drug therapy
  • Tuberculosis / microbiology
  • Vomiting / etiology*


  • Antitubercular Agents
  • Ethambutol