scholarly journals Chagasic meningoencephalitis: case report of a recently included AIDS-defining illness in Brazil

2004 ◽  
Vol 46 (4) ◽  
pp. 199-202 ◽  
Author(s):  
Geraldine Madalosso ◽  
Alessandra C. Guedes Pellini ◽  
Marileide J. Vasconcelos ◽  
Ana Freitas Ribeiro ◽  
Leonardo Weissmann ◽  
...  
Keyword(s):  
Human Immunodeficiency Virus ◽  
Cerebrospinal Fluid ◽  
Differential Diagnosis ◽  
Case Report ◽  
Hospital Admission ◽  
Chagas Disease ◽  
Direct Examination ◽  
Immunodeficiency Virus ◽  
History Of ◽  
Previous Disease

Recently, reactivation of Chagas disease (meningoencephalitis and/or myocarditis) was included in the list of AIDS-defining illnesses in Brazil. We report a case of a 52-year-old patient with no history of previous disease who presented acute meningoencephalitis. Direct examination of blood and cerebrospinal fluid (CSF) showed Trypanosoma cruzi. CSF culture confirmed the diagnosis. Serological assays for T. cruzi and human immunodeficiency virus (HIV) were positive. Despite treatment with benznidazol and supportive measures, the patient died 24 hours after hospital admission. In endemic areas, reactivation of Chagas disease should always be considered in the differential diagnosis of meningoencephalitis among HIV-infected patients, and its presence is indicative of AIDS.

scholarly journals Trypanosoma cruzi meningoencephalitis and myocarditis in a patient with acquired immunodeficiency syndrome

1993 ◽  
Vol 35 (2) ◽  
pp. 205-208 ◽  
Author(s):  
Ademir Rocha ◽  
Marcelo S. Ferreira ◽  
Sergio A. Nishioka ◽  
Marcos Silva ◽  
Marcius K. N. Burgarelli ◽  
...  
Keyword(s):  
Human Immunodeficiency Virus ◽  
Differential Diagnosis ◽  
Chagas Disease ◽  
Acquired Immunodeficiency Syndrome ◽  
The Other ◽  
Post Mortem ◽  
Immunodeficiency Virus ◽  
Acquired Immunodeficiency ◽  
Immunodeficiency Syndrome ◽  
Male Heterosexual

We report the case of a 52-year-old male heterosexual patient with acquired immunodeficiency syndrome (AIDS) and reactivation of Chagas' disease manifested by meningoencephalitis and myocarditis, diagnosed post-mortem. Unexplained reactivation of Chagas' disease should be included among the diagnostic criteria of AIDS in human immunodeficiency virus positive patients. On the other hand, AIDS should be considered in the differential diagnosis of patients with unexplained reactivation of Chagas' disease.

scholarly journals Blindness in a Woman With Human Immunodeficiency Virus Infection and Syphilis

1995 ◽  
Vol 3 (5) ◽  
pp. 198-201
Author(s):  
Michael Luchi ◽  
Curtis Beauregard ◽  
Kevin Ault ◽  
Daniel Hinthorn
Keyword(s):  
Human Immunodeficiency Virus ◽  
Cerebrospinal Fluid ◽  
Virus Infection ◽  
Hiv Infection ◽  
Skin Lesions ◽  
High Dose ◽  
Progressive Loss ◽  
Immunodeficiency Virus ◽  
History Of ◽  
Hands And Feet

Background: A concomitant infection with human immunodeficiency virus (HIV) may alter the natural history of other infections. Several reports indicate that syphilis may behave more aggressively when HIV infection is present.Case: A woman presented with a rash involving her hands and feet and progressive loss of the vision in her right eye. Her serologic tests for syphilis and HIV infection were positive. A diagnosis of neurosyphilis was confirmed by an analysis of cerebrospinal fluid (CSF). She was treated with high-dose intravenous (IV) penicillin. Her skin lesions resolved, but her vision did not improve.Conclusion: The incidence of HIV infection among women is rising. A patient with HIV and syphilis may develop neurosyphilis in a much shorter time than a patient without HIV infection.

scholarly journals Recurrent isolated tuberculous inguinal lymphadenopathy : A case report and review of literature

2017 ◽  
Vol 5 (1) ◽  
pp. 97
Author(s):  
Maurice Asuquo ◽  
Theophilus Ugbem ◽  
Adams Marwa
Keyword(s):  
Human Immunodeficiency Virus ◽  
Differential Diagnosis ◽  
Case Report ◽  
Histological Evaluation ◽  
Tuberculous Lymphadenitis ◽  
Review Of Literature ◽  
Rare Finding ◽  
Immunodeficiency Virus ◽  
Proper Diagnosis ◽  
Inguinal Lymphadenopathy

Chronic peripheral lymphadenopathy is indicative of pathology of which tuberculosis is the commonest. Isolated inguinal tuberculous lymphadenitis is a rare finding. Presented is a healthy looking 16 year old human immunodeficiency virus seronegative male with recurrent isolated tuberculous left inguinal lymphadenopathy. Physicians are requested to consider tuberculosis as differential diagnosis of inguinal lymphadenopathy and to subject same to histological evaluation for proper diagnosis and treatment.

scholarly journals A Rare and Potentially Catastrophic Infection: Primary Intestinal Aspergillosis—Case Report in an HIV Patient

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Cátia Dias ◽  
Filipa Duarte-Ribeiro ◽  
Sara Pipa ◽  
Margarida Mota
Keyword(s):  
Human Immunodeficiency Virus ◽  
Weight Loss ◽  
Case Report ◽  
Virus Infection ◽  
Human Immunodeficiency Virus Infection ◽  
Postoperative Period ◽  
Aspergillus Species ◽  
Progressive Deterioration ◽  
Immunodeficiency Virus ◽  
History Of

Aspergillus species are ubiquitous in nature; however, infection is uncommon, except in immunocompromised or immunosuppressed hosts. We present the case of a 71-year-old woman with a history of human immunodeficiency virus infection who presented with fever, weight loss, and diarrhea, posteriorly diagnosed with intestinal aspergillosis after examination of a segmental enterectomy piece. The diagnosis was made postmortem once the patient died after fast and progressive deterioration in the postoperative period.

HIV encephalitis in a patient on antiretroviral therapy: a case report

2019 ◽  
Vol 30 (6) ◽  
pp. 617-619 ◽  
Author(s):  
Maria Hlebowicz ◽  
Miłosz Parczewski ◽  
Paweł Jakubowski
Keyword(s):  
Human Immunodeficiency Virus ◽  
Drug Resistance ◽  
Cerebrospinal Fluid ◽  
Case Report ◽  
Antiretroviral Therapy ◽  
Viral Escape ◽  
Resistance Testing ◽  
Hiv Encephalitis ◽  
Hiv Resistance ◽  
Immunodeficiency Virus

We present the case of a 52-year-old man with human immunodeficiency virus (HIV) encephalitis resulting from cerebrospinal fluid (CSF) viral escape, to illustrate therapeutic challenges in patients with emergent CSF genotypic HIV drug resistance. This case report highlights the usefulness of CSF HIV-resistance testing to guide antiretroviral therapy and treatment optimizing decisions.

scholarly journals A 17-years-old girl presenting with spontaneous cerebrospinal fluid rhinorrhea diagnosed as aqueductal stenosis: A case report

2016 ◽  
Vol 7 (2) ◽  
pp. 134
Author(s):  
Umma Salma ◽  
Mohammad Abdus Sattar Sarker ◽  
Abed Hossain Khan ◽  
Nahida Zafrin ◽  
M. A. Jalil Chowdhury
Keyword(s):  
Cerebrospinal Fluid ◽  
Differential Diagnosis ◽  
Case Report ◽  
Ventriculoperitoneal Shunt ◽  
Chronic Headache ◽  
Aqueductal Stenosis ◽  
Empty Sella ◽  
Csf Rhinorrhea ◽  
Cerebrospinal Fluid Rhinorrhea ◽  
History Of

<p>A 17-year-old girl presented with chronic headache and spontaneous CSF rhinorrhea. She had no history of head trauma. MRI of her brain showed aqueductal stenosis associated with triventriculomegaly with partially empty sella. Following insertion of ventriculoperitoneal shunt, her headache and CSF rhinorrhea completely recovered. Though very uncommon but aqueductal stenosis should be kept as a differential diagnosis for etiology of chronic CSF rhinorrhea.</p>

scholarly journals Human Immunodeficiency Virus-associated primary effusion lymphoma: An exceedingly rare entity in cerebrospinal fluid

CytoJournal ◽  
2015 ◽  
Vol 12 ◽  
pp. 22 ◽  
Author(s):  
Sarika Jain ◽  
Alka Palekar ◽  
Sara E. Monaco ◽  
Fiona E. Craig ◽  
Ghassan Bejjani ◽  
...  
Keyword(s):  
Human Immunodeficiency Virus ◽  
Cerebrospinal Fluid ◽  
Primary Effusion Lymphoma ◽  
Human Herpesvirus ◽  
Cell Phenotype ◽  
Null Cell ◽  
Immunodeficiency Virus ◽  
Atypical Cells ◽  
History Of ◽  
Immunodeficiency Syndrome

Primary effusion lymphoma (PEL) in patients with Human Immunodeficiency Virus (HIV) infection may involve pleural, pericardial, and peritoneal cavities. PEL involving the cerebrospinal fluid (CSF) is exceedingly rare, and to our knowledge has only been reported in two cases. We report another case of PEL diagnosed in CSF from a 61-year-old male with Acquired Immunodeficiency Syndrome that presented with neurological symptoms. Imaging studies of his brain showed leptomeningeal/periventricular enhancement, but no mass lesion. His CSF demonstrated human herpesvirus-8 positive pleomorphic lymphoplasmacytoid cells of null cell phenotype. This case highlights that albeit rare, PEL should be included in the differential diagnosis when large atypical cells are encountered in CSF of HIV-positive patients, even when such patients have no history of lymphoma. As in this case, ancillary studies are required to make an accurate diagnosis of PEL in CSF cytology.

Sign in / Sign up

Export Citation Format

Share Document