{
  "abstract": "Tuberculous meningitis (TBM) is a severe and often fatal form of extrapulmonary tuberculosis. We describe a case in which the initial cerebrospinal fluid (CSF) analysis showed no specific abnormalities, but a diagnosis was established after repeat CSF evaluation. A 41-year-old female presented with a 10-day history of persistent fever and headache. Initial CSF analysis demonstrated an opening pressure of 150 mmH2O, a white blood cell (WBC) count of 10/μL, a glucose level of 50 mg/dL, and a protein level of 31.4 mg/dL. Despite treatment with an antiviral agent and doxycycline, her symptoms did not improve. A repeat CSF analysis demonstrated an opening pressure of 120 mmH2O, an elevated WBC count of 140/μL (55% lymphocytes), a glucose level of 52 mg/dL, and an elevated protein level of 201.6 mg/dL, which was highly suggestive of TBM. This case highlights the importance of repeat CSF analysis based on clinical judgment when diagnosing TBM.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Neurology, Nowon Eulji Medical Center, Eulji University, Seoul, Korea.",
    "Department of Neurology, Nowon Eulji Medical Center, Eulji University, Seoul, Korea. sss331@eulji.ac.kr."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Yoonjeong Na"
    },
    {
      "affs": [
        1
      ],
      "name": "Jung-Ju Lee"
    },
    {
      "affs": [
        0
      ],
      "name": "Byung-Kun Kim"
    },
    {
      "affs": [
        0
      ],
      "name": "Namoh Kim"
    },
    {
      "affs": [
        0
      ],
      "name": "Michelle Sojung Youn"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/3ynnq41s92xfb.bib",
  "cited_by": 0,
  "doi": "10.47936/encephalitis.2026.00115",
  "fulltext_url": "https://europepmc.org/articles/PMC13669848",
  "id": "3ynnq41s92xfb",
  "issns": [
    "2765-4559",
    "2734-1461"
  ],
  "landing_url": "https://europepmc.org/article/MED/42843900",
  "language": "eng",
  "licence": "CC-BY-NC",
  "licence_label": "CC BY-NC",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2746|Infectious Diseases and Tuberculosis"
    ]
  ],
  "openalex": "W7202161023",
  "pdf_url": "https://europepmc.org/articles/PMC13669848?pdf=render",
  "pmcid": "PMC13669848",
  "pmid": "42843900",
  "published": "2026-08-11",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/3ynnq41s92xfb.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:18:10Z",
      "native_id": "MED:42843900",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42843900"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Infectious Diseases and Tuberculosis",
      "subfield": "surgery"
    }
  ],
  "title": "Tuberculous meningitis diagnosed on repeat cerebrospinal fluid analysis after unremarkable initial findings: a case report.",
  "title_text": "Tuberculous meningitis diagnosed on repeat cerebrospinal fluid analysis after unremarkable initial findings: a case report.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:18:10Z",
  "url": "https://research.draconitic.com/paper/3ynnq41s92xfb",
  "venue": "Encephalitis (Seoul, Korea)",
  "versions": []
}