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Embolic spread of tuberculomas in the brain in multidrug resistant tubercular meningitis
  1. A Kohli,
  2. R Kapoor
  1. Indraprastha Apollo Hospital, New Delhi, India
  1. Dr A Kohli, Department of Neurology, Indraprastha Apollo Hospital, A-761, Sarita Vihar, Mathura Road, New Delhi-110076, India; kohlianoop{at}hotmail.com

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A 46-year-old man with multidrug resistant (MDR) tubercular meningitis (TBM) resistant to rifampicin and isoniazid (by CSF culture and sensitivity) was treated with second line therapy (cycloserine/ethionamide/pyrazinamide/kanamycin).1 Contrast MRI of the brain (fig 1A) performed at the start of treatment showed enhancement and exudates in the left middle cerebral …

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