サダヒロ　トモヒト   貞広　智仁    所属   医学部 医学科（附属八千代医療センター）    職種   准教授
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	A case of cerebral tuberculoma mimicking neurocysticercosis.
掲載誌名	正式名：Acute medicine & surgery 略　 称：Acute Med Surg ISSNコード：20528817/20528817
掲載区分	国外
巻・号・頁	4(3),pp.329-333
著者・共著者	Yuzawa Hiroko, Hirose Yousuke, Kimura Tomonori, Kimura Sho, Sugawara Hisanori, Yanagisawa Asako, Toi Sono, Ohashi Takashi, Sadahiro Tomohito
担当区分	最終著者,責任著者
発行年月	2017/07
概要	Case:A 42-year-old Peruvian woman residing in Japan for 11 years with a family history of neurocysticercosis presented to our intensive care unit with fever and intense headache.Computed tomography indicated multiple micronodular lesions in the brain parenchyma, and cerebral tuberculoma and neurocysticercosis were considered in the differential diagnosis. Neurocysticercosis was initially suspected, and oral praziquantel was initiated. However, because of a high adenosine deaminase level in the cerebrospinal fluid and positive peripheral blood interferon gamma release test result, cerebral tuberculoma was subsequently considered.Outcome:Antituberculous drugs with steroids were initiated on day 10, after which the symptoms gradually resolved; the patient was discharged on day 29. Gadolinium-contrast magnetic resonance imaging 8 months later showed reduced nodular shadows, confirming cerebral tuberculoma.Conclusion:Immediate diagnosis and treatment are imperative for cerebral tuberculoma, a lethal infection. Considering the recent increases in immigration worldwide, increased cases of tuberculoma mimicking neurocysticercosis are expected.
DOI	10.1002/ams2.272
PMID	29123884