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Year : 2020  |  Volume : 15  |  Issue : 3  |  Page : 480-483

Sagittal venous thrombosis in disseminated tuberculosis: A rare presentation

Department of Respiratory Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University) ,Wardha, Maharashtra, India

Correspondence Address:
Dr. Mona Vohra
Department of Respiratory Medicine, Jawaharlal Nehru Medical College, Sawangi, Wardha - 442 001, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jdmimsu.jdmimsu_148_20

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Sagittal venous thrombosis (SVT) is most commonly seen in hypercoagulable conditions, whereas infection-related thrombosis is very rare. Infections due to viruses, fungi, and bacteria can cause SVT. Disseminated tuberculosis (TB) causing SVT is rarely reported. Here, we report the case of a 38-year-old male who presented with the complaints of numbness and weakness to the right side of the body, cough with mucopurulent expectoration, and breathlessness. The patient was examined, which showed signs of cerebral inflammation and right-sided hemiparesis. Respiratory examination was suggestive of pulmonary TB. Chest X-ray was done which was suggestive of bilateral nodular opacities, and sputum Cartridge based nucleic acid amplification test (CBNAAT) was positive for Mycobacterium TB. Cerebrospinal fluid analysis was suggestive of tubercular meningitis. Magnetic resonance imaging brain was also done which revealed sagittal sinus thrombosis and bilateral frontoparietal cortical vein thrombosis and associated hemorrhagic infarct in the left parietal lobe. The patient was treated with antitubercular drugs along with anticoagulants.

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