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Case Reports in Infectious Diseases
Volume 2013 (2013), Article ID 146032, 3 pages
http://dx.doi.org/10.1155/2013/146032
Case Report

Tuberculosis Infection Mimicking Brain Metastatic Malignancy Lesions in an Elderly Male

1Primary Health Care Centre of Kissamos, 74100 Chania, Crete, Greece
2Department of Internal Medicine, Saint George General Hospital of Chania, 73100 Chania, Crete, Greece
3Private Family Practice Unit in Heraklion, 71303 Heraklion, Crete, Greece

Received 17 May 2013; Accepted 7 July 2013

Academic Editors: D. L. Palazzi and X. Vallès

Copyright © 2013 Dimitrios Anyfantakis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

An 83-year-old Caucasian Greek man was referred by his general practitioner to the emergency department of the general hospital in Crete because of seizures and agitation. His past medical history was negative for any neurological or medical condition. Electroencephalogram showed a bradyarrhythmic theta activity, without evidence of any focal or other specific abnormality. Magnetic resonance imaging of the brain demonstrated a number of diffuse nodular lesions and moderate perivascular edema. An axillary lymph node fine needle aspiration cytology suggested a granulomatous lymphadenitis along with signs of tuberculous infiltration. Tuberculin skin test was positive. We report a rare case of extrapulmonary tuberculosis mimicking brain metastatic lesions.