Central nervous system (CNS) – Tuberculosis (TB) is a major public health problem in developing countries such as India. It accounts for 5%–10% of cases of extra pulmonary TB, of which 1% have serious illness. The diagnosis and treatment of these patients is quite challenging in resource-limited settings because confirming a bacterial specimen is difficult. Imaging plays a crucial role in differentiating tuberculoma from other similar space-occupying lesions and in assessing the prognosis. Bacteriological demonstration of TB bacilli confirms the diagnosis. We present three unique presentations of CNS TB with two pulmonary involvements and serious illness.
Sureshgraham et al. (2026) studied this question.