a Case of COVID-19 and Tuberculous Meningitis Coinfection

Shaghayegh  Ashraf Talesh; Sara Zare; Azar Hadadi

doi:10.18502/crcp.v7i6.12269

Shaghayegh Ashraf Talesh Department of Infectious Diseases, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
Sara Zare School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
Azar Hadadi Department of Infectious Diseases, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.

DOI: https://doi.org/10.18502/crcp.v7i6.12269

Keywords: Tuberculous meningitis; COVID-19; Headache

Abstract

Neurological symptoms like headache have been reported in patients infected with tuberculosis (TB) and COVID-19 infection [1]. A high index of suspicions is necessary for diagnosing of COVID-19 and neurologic tuberculous coinfection, particularly in the communities at high risk for TB or in an endemic region. Herein, we report a case of a 60-year-old man diagnosed with acute COVID-19 and tuberculous meningitis coinfection, to emphasize challenges about this coinfection, because underlying lung diseases like latent TB will affect the clinical categorization (for severity) of COVID-19, and then active TB disease may severe illness.