Document Detail


Cerebral toxoplasmosis in a patient with acquired immunodeficiency syndrome.
MedLine Citation:
PMID:  20419981     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cerebral toxoplasmosis commonly affects patients with advanced HIV immunodeficiency. Toxoplasmosis in patients who are immunocompromised can be severe and debilitating in patients with Central Nervous System (CNS) involvement and the condition may be fatal. We report the case of a 40-year-old man who was a known case of HIV and presented with cerebral toxoplasmosis. His Magnetic Resonance Imaging (MRI) scan showed multiple ring enhancing lesions with extensive surrounding oedema in supratentorial as well as infratentorial region. Lesions were mainly located in the periventricular region as well as at the grey-white matter junction and showed enhancement in the periphery as well as a tiny nodular enhancement in the centre. Patient was started on Septran DS, empirically for toxoplasmosis and steroids to reduce intracranial pressure. On follow up MRI scan after 10 days there was a reduction in size, number and enhancement of the masses with decrease in the surrounding oedema. Patient was clinically stable, oriented and his fever settled. He was discharged from hospital on same medication and advised to continue regular follow-up.
Authors:
Rohana Naqi; Muhammad Azeemuddin; Humera Ahsan
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  JPMA. The Journal of the Pakistan Medical Association     Volume:  60     ISSN:  0030-9982     ISO Abbreviation:  J Pak Med Assoc     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-04-27     Completed Date:  2010-06-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7501162     Medline TA:  J Pak Med Assoc     Country:  Pakistan    
Other Details:
Languages:  eng     Pagination:  316-8     Citation Subset:  IM    
Affiliation:
Department of Radiology, The Aga Khan University Hospital, Karachi.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
AIDS-Related Opportunistic Infections / diagnosis*
Adult
Contrast Media
Diagnosis, Differential
Humans
Magnetic Resonance Imaging / methods*
Male
Toxoplasmosis, Cerebral / diagnosis*
Chemical
Reg. No./Substance:
0/Contrast Media

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Ewing's sarcoma/PNET of kidney in 13-year-old girl.
Next Document:  Teaching paediatric critical care medicine to paediatric residents.