A Case of Cytomegalovirus Encephalitis in Cluster of Differentiation Four Cell Counts Greater Than 50.
| Autor: | Narvaneni S; Internal Medicine, St. Joseph's Regional Medical Center, Paterson, USA., Tagliaferri AR; Radiology, Sidney Kimmel Medical College at Thomas Jefferson University Hospital, Philadelphia, USA.; Internal Medicine, St. Joseph's Regional Medical Center, Paterson, USA., Reid RJ; Internal Medicine, St. Joseph's University Medical Center, Paterson, USA., Horani G; Internal Medicine, St. Joseph's Regional Medical Center, Paterson, USA., Maroules M; Hematology and Oncology, St. Joseph's University Medical Center, Paterson, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2021 Oct 06; Vol. 13 (10), pp. e18550. Date of Electronic Publication: 2021 Oct 06 (Print Publication: 2021). |
| DOI: | 10.7759/cureus.18550 |
| Abstrakt: | Although cytomegalovirus (CMV) encephalitis is a common viral infection, it is rarely reported in immunocompromised patients with cluster of differentiation four (CD4) cell counts greater than 50. Herein, we present a case of CMV encephalitis co-infected with Epstein-Barr virus (EBV) in a human immunodeficiency virus (HIV) patient with a CD4 cell count of 145. In addition, the patient was also infected with syphilis and tuberculosis. This case report will discuss the complications of untangling the differential diagnosis in an immunocompromised host with multiple infections, specifically, how it was difficult to identify the exact etiology of this patient's encephalopathy. We will address the plausible explanations for this unusual presentation, including CD4 dysfunction, latent and re-infections, and synergism seen with the co-infections in HIV patients. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2021, Narvaneni et al.) |
| Databáze: | MEDLINE |
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