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2009, Number 3

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Gac Med Mex 2009; 145 (3)

Aracnoiditis y encefalitis cortical tuberculosa en un paciente con VIH

Alatorre-Fernández CP, Venzor-Castellanos JP, Contreras-Cabrera JA, Fuentes-Venegas A, Castro-Martínez E
Full text How to cite this article

Language: Spanish
References: 5
Page: 239-240
PDF size: 72.93 Kb.


Key words:

Meningitis, neuroinfection, magnetic resonance imaging, tuberculosis, HIV.

ABSTRACT

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 HIV 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.


REFERENCES

  1. Boissé L, Gill J, Power C. HIV infection of the central nervous system: clinical features and neuropathogenesis. Neurol Clin 2008;26:799-819.

  2. Marco CA, Rothman RE. HIV infection and complications in emergency medicine. Emerg Med Clin N Am 2008;26:367-387.

  3. Kumar RG. Tuberculosis of the central nervous system. Postgrad Med J 1999;75:133-140.

  4. Donald PR, Schoeman JF. Tuberculous meningitis. N Engl J Med 2004;351:1719-1720.

  5. Kashyap RS, Kainthla RP, Mudaliar AV, Purohit HJ, Taori GM, Daginawala HF. Cerebrospinal fluid adenosine deaminase activity: a complimentary tool in the early diagnosis of tuberculous meningitis. Cerebrospinal Fluid Res 2006;3:5.




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Gac Med Mex. 2009;145