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Abstract
The placing of a ventriculoatrial anastomosis because of elevated CSF pressure secondary
to tuberculous meningitis resulted in repeated dissemination of Mycobacterium tuberculosis
from the anastomosis. The consequent clinical picture showed recurrent appearance
and clearing of miliary tuberculosis of the lung in spite of antituberculosis chemotherapy.
While this possibility was considered early, the diagnosis was not established until
the shunt was replaced shortly before the patient's death.