tuberculous meningitis should be suspected , even in the infant or child with a negative tuberculin skin test , when a chronically ill patient presents with the acute signs of meningismus , the cerebrospinal fluid analysis demonstrates a low glucose and monocytosis , and cranial ct shows ventricular enlargement with prominent basal and sylvian fissure enhancement after intravenous contrast medium injection .
C0021270
infant
C0008059
child