This patient presented with fevers and drowsiness. Initial CT brain demonstrated marked hydrocephalus and the patient was taken for urgent ventricular decompression. Subsequent CSF testing demonstrated tuberculosis meningitis. 

Mycobacterial investigation specimen

Specimen Type: CSF

MICROSCOPY

• Auramine-Rhodamine Stain: 1-9 Acid Fast Bacilli DETECTED per 100 HPF
• Ziehl-Neelsen Stain: 1-9 Acid Fast Bacilli DETECTED per 100 HPF

NUCLEIC ACID TESTING (ON SPECIMEN) M. tuberculosis Complex PCR: DETECTED