Trypanosoma cruzi meningoencephalitis in AIDS mimicking cerebral metastases: case report.

Autor: Pimentel PC; Department of Neurology, Escola Paulista de Medicina, São Paulo, Brazil., Handfas BW, Carmignani M
Jazyk: angličtina
Zdroj: Arquivos de neuro-psiquiatria [Arq Neuropsiquiatr] 1996 Mar; Vol. 54 (1), pp. 102-6.
DOI: 10.1590/s0004-282x1996000100017
Abstrakt: A case of Chagas' meningoencephalitis in a 47 year-old patient with AIDS is presented. The diagnosis was established by examination of the cerebrospinal fluid which showed the presence of Trypanosoma cruzi. CT-scan revealed multiple cerebral lesions which only became evident by contrast administration. A second CT after 13 days showed a severe evolution with displacement of the midline structures leading to the patient's death. This case, as well as other case reports published, has shown the fulminant evolution of Chagas' meningoencephalitis in AIDS patients and the importance of cerebrospinal fluid examination for the diagnosis.
Databáze: MEDLINE