{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T14:08:13Z","timestamp":1780582093561,"version":"3.54.1"},"reference-count":8,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2016,2,28]]},"abstract":"<jats:p>We report a case of a 19-year-old immunocompetent Malay woman who presented with a worsening psychotic disorder of 1-year duration. She initially presented with social isolation with subsequent mutism and stupor. Physical examination revealed a stuporous, emaciated, dehydrated woman with Glasgow Coma Scale of 11\/15 (E4V2M5). She had a blank stare, mutism and akinesia. Motor examination revealed upper motor neuron findings. Neck stiffness was present, however, Kernig's and Brudzinski's signs were negative. There were no other findings on other systems. Brain imaging and EEG were normal. Cerebrospinal fluid investigations revealed positive cerebrospinal fluid <jats:italic>Mycobacterium tuberculosis<\/jats:italic> PCR (MTB PCR). The patient was treated with empirical antituberculosis drugs and steroids. On follow-up visit 1\u2005month later, her psychotic symptoms had fully resolved. She was able to ambulate and care for herself; she was unable to recall the symptoms she had experienced before and during admission.<\/jats:p>","DOI":"10.1136\/bcr-2015-213171","type":"journal-article","created":{"date-parts":[[2016,3,11]],"date-time":"2016-03-11T09:47:39Z","timestamp":1457689659000},"page":"bcr2015213171","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Psychosis secondary to tuberculosis meningitis"],"prefix":"10.1136","volume":"2016","author":[{"given":"Mohd Jazman","family":"Che Rahim","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Hospital Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wan Syamimee","family":"Wan Ghazali","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Hospital Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2016,3,11]]},"reference":[{"key":"2025082804505863000_2016.mar11_1.bcr2015213171.1","unstructured":"Clinical Practice Guideline. Management of tuberculosis. 3rd edn. Ministry of Health Malaysia, November 2012."},{"key":"2025082804505863000_2016.mar11_1.bcr2015213171.2","unstructured":"Global Tuberculosis report 2014 World Health Organization."},{"key":"2025082804505863000_2016.mar11_1.bcr2015213171.3","doi-asserted-by":"publisher","DOI":"10.1155\/2011\/798764"},{"key":"2025082804505863000_2016.mar11_1.bcr2015213171.4","doi-asserted-by":"crossref","first-page":"P03.250","DOI":"10.1212\/WNL.78.1_MeetingAbstracts.P03.250","article-title":"Tuberculous meningitis in a healthy young woman: case report and review of literature","volume":"78","author":"Mutgi","year":"2012","journal-title":"Neurology"},{"key":"2025082804505863000_2016.mar11_1.bcr2015213171.5","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1080\/02724936.1991.11747509","article-title":"Cerebrospinal fluid investigations in tuberculous meningitis","volume":"11","author":"Donald","year":"1991","journal-title":"Ann Trop Paediatric"},{"key":"2025082804505863000_2016.mar11_1.bcr2015213171.6","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-011-6010-4"},{"key":"2025082804505863000_2016.mar11_1.bcr2015213171.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2005.07.009"},{"key":"2025082804505863000_2016.mar11_1.bcr2015213171.8","first-page":"58","article-title":"Acute psychosis in a patient of tuberculous meningitis developing polyuria and diabetes insipidus in sequelae","volume":"1","author":"Kumar","year":"2011","journal-title":"Indian J Psychosoc"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2015-213171","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:51:06Z","timestamp":1756381866000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2015-213171"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,3,11]]},"references-count":8,"alternative-id":["10.1136\/bcr-2015-213171"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2015-213171","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,3,11]]}}}