Infliximab in a Child With Relapsing Tuberculous Meningoencephalitis: A Case Report and Literature Review.
Chiara Barone, Martina Capitani, Beatrice Fresch et al.
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Case in brief
A 5-year-old child with tuberculous meningoencephalitis experienced severe drug-induced hepatitis following standard antitubercular therapy, leading to the discontinuation of treatment. Despite switching to second-line drugs and high-dose corticosteroids, the child's condition worsened. The addition of infliximab resulted in significant clinical and radiologic improvement, suggesting its potential utility in refractory cases of central nervous system tuberculosis.
Diagnostic / clinical pearl
Infliximab may be considered in cases of refractory tuberculous meningoencephalitis, particularly when conventional therapies lead to severe adverse effects.