Mycobacterium bovis meningitis in young Nigerian-born male

Abstract

In Denmark, tuberculous meningitis is rare. Central nervous system (CNS) involvement with Mycobacterium bovis is even rarer and has only been seen three times since 1992. We present a case of M. bovis meningitis in a previously healthy young Nigerian-born male, who had been exposed to unpasteurized dairy products in Nigeria but had no known contact with larger mammals. Before the development of meningitis, the patient had several contacts with the health system due to fever and non-specific symptoms. Finally, upon hospital admission, the patient was diagnosed with M. tuberculosis complex meningitis and treated empirically. After 13 days he was discharged without neurological sequelae. Later, the culture revealed M. bovis and treatment was adjusted accordingly.

Keywords::

• Mycobacterium bovis
• bovine tuberculosis
• tuberculous meningitis
• unpasteurized dairy foods

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.