[Arachnoiditis and tuberculuos cortical encephalitis in an HIV+ patient].

Autor: Alatorre-Fernández CP; Servicios de Medicina Interna, División de Medicina Interna, Hospital General Dr. Manuel Gea González, Secretaria de Salud, México D.F., México. pamelaalatorre@hotmail.com, Venzor-Castellanos JP, Contreras-Cabrera JA, Fuentes-venegas A, Castro-Martínez E
Jazyk: Spanish; Castilian
Zdroj: Gaceta medica de Mexico [Gac Med Mex] 2009 May-Jun; Vol. 145 (3), pp. 239-40.
Abstrakt: HIV infection is a major risk factor for tuberculosis. We describe the case of a 30-year-old male presenting with headache, compromised mental status, seizures, neck stiffness and fever that was subsequently diagnosed with HlV and neuroinfection. Clinical data, cerebrospinal fluid and brain imaging supported a diagnosis of neurotuberculosis. Cranial magnetic resonance imaging showed diffuse arachnoidal enhancement, mainly at the basal cisterns and cortical encephalitis. Such imaging findings play a key role in the diagnosis of central nervous system tuberculosis.
Databáze: MEDLINE