Neuro-meningeal tuberculosis: A diagnostic challenge in systemic sarcoidosis

Abstract

Tuberculosis and sarcoidosis are chronic diseases that rarely occur concomitantly. They are sometimes difficult to separate, especially in the absence of a microbiological confirmation. The case described is suggestive of a coexistent systemic sarcoidosis and neuro-meningeal tuberculosis (NMT), which is an underrecognized entity in the medical literature. We present a case of a 42-year-old woman with an established diagnosis of systemic sarcoidosis who subsequently developed NMT. Lumbar puncture was failed because patient was very obese. We have started a trial anti-tuberculosis treatment with a good clinical and radiological evolution. In our knowledge, this is the first case reported, of coexistent systemic sarcoidosis and NMT.