{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:17:17Z","timestamp":1756383437648,"version":"3.44.0"},"reference-count":8,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Tuberculous radiculomyelitis (TBRM) is an uncommon complication of TB meningitis. The authors report the case of a 10-year-old Asian girl with trisomy 21, who presented with acute urinary retention and fever. She was initially treated for a urinary tract infection. After an acute neurological deterioration she was found to have evidence of TB meningitis with TBRM. She developed acute hydrocephalus requiring ventriculo-peritoneal shunt. She was treated with quadruple antituberculous therapy and high dose intravenous dexamethasone. She needed tracheostomy with continuous positive airway pressure (CPAP) support. Although she showed gradual neurological improvement in her cognitive functions, she persisted to have quadriparesis with the need for tracheostomy and CPAP support overnight and gastrostomy feeding. Acute urinary retention in children is uncommon, and should serve as a \u2018red flag\u2019 to consideration of further underlying neurological problems. This presentation and subsequent events should serve as a learning point to clinicians.<\/jats:p>","DOI":"10.1136\/bcr.10.2011.5005","type":"journal-article","created":{"date-parts":[[2012,4,3]],"date-time":"2012-04-03T10:27:16Z","timestamp":1333448836000},"page":"bcr1020115005","source":"Crossref","is-referenced-by-count":2,"title":["Tuberculous radiculomyelitis presenting as urinary retention in a child with Down\u2019s syndrome"],"prefix":"10.1136","volume":"2012","author":[{"given":"Arani","family":"Sridhar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jasjit K","family":"Bhandari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gareth","family":"Lewis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Subramanian","family":"Ganesan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Srinivas","family":"Parepalli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lara","family":"Abulhoul","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,4,3]]},"reference":[{"key":"2025082804461387000_2012.apr02_1.bcr1020115005.1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-1331.2006.01534.x"},{"key":"2025082804461387000_2012.apr02_1.bcr1020115005.2","first-page":"64","article-title":"Predictors of outcome in patients with tuberculous meningitis.","volume":"6","author":"Hosoglu","year":"2002","journal-title":"Int J Tuberc Lung Dis"},{"key":"2025082804461387000_2012.apr02_1.bcr1020115005.3","doi-asserted-by":"publisher","DOI":"10.1086\/313821"},{"key":"2025082804461387000_2012.apr02_1.bcr1020115005.4","first-page":"722","article-title":"Tuberculous radiculomyelitis (arachnoiditis) associated with tuberculous meningitis.","volume":"36","author":"Chotmongkol","year":"2005","journal-title":"Southeast Asian J Trop Med Public Health"},{"key":"2025082804461387000_2012.apr02_1.bcr1020115005.5","first-page":"1186","article-title":"Tuberculous radiculomyelitis: review and presentation of five patients.","volume":"7","author":"Moghtaderi","year":"2003","journal-title":"Int J Tuberc Lung Dis"},{"key":"2025082804461387000_2012.apr02_1.bcr1020115005.6","first-page":"48","article-title":"Tuberculous radiculomyelitis: a myelographic and computed tomographic study","volume":"46","author":"JauakuJan-Mar","year":"1998","journal-title":"Neurology India"},{"key":"2025082804461387000_2012.apr02_1.bcr1020115005.7","unstructured":"National Collaborating Centre for Chronic Conditions at the Royal College of Physicians. Tuberculosis: clinical diagnosis and management of tuberculosis, and measures for its prevention and control. National Institute for Health and Clinical Excellence (NICE) Clinical guideline Number 33, 2006."},{"key":"2025082804461387000_2012.apr02_1.bcr1020115005.8","doi-asserted-by":"publisher","DOI":"10.1542\/peds.99.2.226"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr.10.2011.5005","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:46:23Z","timestamp":1756381583000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr.10.2011.5005"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,4,3]]},"references-count":8,"alternative-id":["10.1136\/bcr.10.2011.5005"],"URL":"https:\/\/doi.org\/10.1136\/bcr.10.2011.5005","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2012,4,3]]}}}