Outcome and follow-up:
The presenting complaints of patient headache, intermittent fever,
non-bilious, non-projectile vomiting were treated with symptomatic
treatment and relieved on a day of admission. A drain was kept for a
week after neurosurgical operation of a patient. Then it was removed and
also the patient was on antibiotics for 2 weeks of post-op and 3 days of
pre-op too; Also ATT (anti tuberculosis treatment) was started for
2-month intensive and 4-month continuation therapy and it was further
extended to 10 months. Patient was followed up till 18 months until
complete resolution of symptoms and ZN stain found to be negative from
nasal-oral swab. Patient was discharged after 2 weeks of admission. Then
he was on weekly follow-up till 4 weeks; then after bi-weekly follow up
till 3 months; and then patient was on monthly follow up till 9 months;
Lastly was 2 monthly follow up till 18 months until complete resolution
of his clinical signs, symptoms, AFB stain negative, CXR return
partially to normal state and no focal neurological deficit present with
cognitive status is at achievable normal state.