A Case Report on Tuberculous Myelitis with Tuberculous Meningitis

Authors

  • Nargis Akter FCPS Part 2 Trainee, Department of Medicine, Dhaka Medical College Hospital, Dhaka
  • Fatema Haque Eya FCPS Part 2 Trainee, Department of Medicine, Dhaka Medical College Hospital, Dhaka
  • Hasan Al Banna Indoor Medical Officer, Dhaka Medical College Hospital, Dhaka
  • Mohammad Salim Associate Professor, Department of Critical Care Medicine, Dhaka Medical College Hospital, Dhaka
  • A K M Ferdous Rahman Associate Professor, Department of Critical Care Medicine, Dhaka Medical College Hospital, Dhaka

DOI:

https://doi.org/10.3329/bccj.v14i1.88313

Keywords:

Longitudinally extensive transverse myelitis, Obstructive hydrocephalus, Tubercular myelitis, Tubercular meningitis

Abstract

Transverse myelitis is an extremely rare manifestation of central nervous system tuberculosis, involving 1 or more vertebral segments of the spinal cord. However, it may extend to involve 3 or more segments of the cord, which would then be designated as longitudinally extensive transverse myelitis (LETM). Tuberculous transverse myelitis may occur in isolation or in association with adjacent meningitis. Here, we report a 15-year-old girl who was referred with rapid onset of quadriparesis with altered level of consciousness and showed LETM on spinal MRI. This report indicates that spinal tuberculosis should be considered as a differential diagnosis of LETM, especially in endemic areas.

Bangladesh Crit Care J March 2026; 14 (1): 59-64

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Published

2026-04-08

How to Cite

Akter, N., Eya, F. H., Banna, H. A., Salim, M., & Rahman, A. K. M. F. (2026). A Case Report on Tuberculous Myelitis with Tuberculous Meningitis. Bangladesh Critical Care Journal, 14(1), 59–64. https://doi.org/10.3329/bccj.v14i1.88313

Issue

Section

Case Reports