Peripheral nerve granuloma in a patient with tuberculosis.

Orrell, R W; King, R H M; Bowler, J V; Ginsberg, L · J Neurol Neurosurg Psychiatry · 2002

case_report · Level V

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Abstract

The cause of peripheral neuropathy associated with tuberculosis is controversial. Possibilities include an immune mediated neuropathy, direct invasion of nerves, vasculitic neuropathy, compressive neuropathy, a meningitic reaction, and the toxic effects of antituberculous chemotherapy. This report describes the unusual finding of granulomas in the peripheral nerve of a patient with tuberculosis. The pathological findings were of a delayed hypersensitivity reaction, but with no more specific indications of the mechanism of the neuropathy.

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