Scrofula Presenting as Tubercular Meningitis: A Neglected Sequalae

Abstract

Tuberculosis (TB) is a multiorgan disease that can affect any part of the body. Though it is thought to be affecting mainly the pulmonary system, genitourinary TB is a rare but important manifestation of TB. It has been reported in <0.5% of extra pulmonary tuberculosis. Amongst instances of genitourinary TB, glandular TB is even scarcer. Maximum patients seek medical intervention later in the progression of ailment due to the attached stigma linked with tuberculosis and in view of affected site and part of the body and the reluctance on the patient’s side. In this case report, a 58-year-old male presented to Medicine Department with the complaint of a non healing wound on the scrotal region with excoriation since one month and irritability with altered sensorium since a week. Ultimately, it turned out to be a case of tubercular meningitis resulting from a neglected scrofula with neck rigidity, Kernig's and Brudzinski's sign positive. Though many case reports involving tubercular meningitis have been reported, a neglected scrofula remains a rare manifestation of tubercular meningitis.

Tuberculoma Masquerading as a Sixth Cranial Nerve Palsy in a Young Patient: A Case Report

“…Mycobacterium tuberculosis, which causes tuberculosis, continues to be a major global health concern that affects millions of people globally. The central nervous system (CNS) is one of the many organs that can be affected by tuberculosis, despite the disease being most commonly known as a pulmonary infection [1,2].…”