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.