Health 19/02/2025 09:56

A healthy 22-year-old man suddenly discovered da.nger.ous tu.bercu.losis from a sign that many people ignore

According to doctors, this place has received and treated patient, 22 years old, in Hanoi, who was diagnosed with generalized tuberculosis and tuberculous meningitis.

Originally a healthy young man with no underlying diseases, the 22-year-old suddenly had to face tuberculosis, causing serious damage to many organs, including esophageal fistula, pneumonia and sepsis due to multidrug-resistant bacteria, threatening his life. After more than 30 days of intensive treatment, he gradually recovered and was discharged from the hospital.

After being discharged from the hospital, Mr. T continued to take anti-tuberculosis drugs at home. However, in recent days, he began to experience worrying symptoms such as continuous headaches, mild nausea but no vomiting and no fever.

On February 4, he went to the medical facility for examination and was diagnosed with ventricular dilatation. He was then transferred to the Department of Orthopedic Trauma and Spinal Neurosurgery - Hospital for further treatment. Here, doctors diagnosed him with ventricular dilatation due to the sequelae of tuberculous meningitis. MRI results showed that the entire ventricular system was dilated and there were signs of hydrocephalus, requiring immediate surgery to reduce intracranial pressure.

On February 5, he underwent surgery to place a shunt in the ventricles through a route from the side of the rib into the abdomen via endoscopic surgery. The doctor from the Department of Orthopedics and Spinal Neurology said. "This is one of the techniques used for patients with ventricular dilatation who need lifelong subcutaneous drainage. Although it is not a very complicated technique, it requires close coordination between doctors from the Hepatobiliary Surgery Center and the Department of Orthopedics and Spinal Neurology. This technique is used for patients with ventricular dilatation after treatment for generalized tuberculosis who have stabilized.

Cerebrospinal fluid is produced but not absorbed, leading to fluid retention in the ventricles. This fluid retention will slow down the patient's cognition and gradually increase intracranial pressure. Ventricular dilatation continues to progress, causing severe cognitive impairment. If not intervened promptly, increased intracranial pressure can lead to death or permanent neurological sequelae."

After the surgery, he was transferred to the Intensive Care Center for continued monitoring and special care. After only one day, he was awake, no longer had headaches, and gradually recovered his health. Currently, he is being supported by doctors with rehabilitation exercises to soon return to a normal life, full of energy as before.

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