Case of the Week
Section Editors: Matylda Machnowska1 and Anvita Pauranik2
1University of Toronto, Toronto, Ontario, Canada
2BC Children's Hospital, University of British Columbia, Vancouver, British Columbia, Canada
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A 42-year-old man with chronic kidney disease and cervical tubercular lymphadenopathy presents with ataxia and slurring of speech. The patient gives a history of intake of antitubercular therapy including isoniazid, rifampicin, ethambutol, and pyrazinamide for 2 months. On neurologic examination, the patient has an ataxic gait with dysarthria.