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Meningitis and stridor in advanced Human immunodeficiency virus/acquired immune deficiency syndrome

Authors Naidoo P, Pillay D, Saman S

Received 18 May 2013

Accepted for publication 17 June 2013

Published 13 September 2013 Volume 2013:6 Pages 781—785

DOI https://doi.org/10.2147/IJGM.S46734

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 5


P Naidoo, D Pillay, S Saman

Department of Internal Medicine, Port Shepstone Regional Hospital, University of KwaZulu-Natal, South Africa

Abstract: A 37-year-old female presented confused with a preceding history of severe headache. After clinical examination and investigations, she was diagnosed with disseminated tuberculosis (including central nervous system involvement), and Human immunodeficiency virus/acquired immune deficiency syndrome. Her hospital stay was complicated. She developed stridor and a cerebrovascular accident with left hemiplegia. She died approximately 2 weeks after admission. The potential causes of her stridor included a mediastinal mass or a central mechanism secondary to tuberculosis meningitis. Limited resources precluded definitive imaging of the chest to rule out a mediastinal mass. Further, an autopsy was not done. Despite these limitations, this case is unique because it reports the presence of both stridor and tuberculosis meningitis in an adult patient.

Keywords: Human immunodeficiency virus, acquired immune deficiency syndrome, meningitis, stridor, tuberculosis

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