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2015, Number 1

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Correo Científico Médico 2015; 19 (1)

Neurotoxoplasmosis diagnosed by computed tomography in a patient with AIDS

Cordovés MK, Zaldívar PLM, Camejo GN, Ricardo BL, Cruz RE
Full text How to cite this article

Language: Spanish
References: 6
Page: 173-179
PDF size: 346.50 Kb.


Key words:

neurotoxoplasmosis, AIDS, computerized axial tomography.

ABSTRACT

The neurotoxoplasmosis (NTX) is one of the most common opportunistic infections in patients infected with human immunodeficiency virus and is presented with diverse clinical manifestations in immunocompromised host; it is also considered an AIDS-defining illness in approximately 5 % of patients infected with this virus. A patient of 24 years with a history of HIV, admitted with fever, severe headache and vomiting was presented. The toxoplasma test was positive. Computed tomography (CT) after intravenous administration that showed the presence of two nodular ring enhancement isodense with a 16 x 12 mm right parietal and a 26 x 22 mm left parietal, concluding as a cerebral toxoplasmosis. Neuroimaging techniques are valuable for diagnosis; the most used are CT and magnetic resonance. The differential diagnosis should be made in these cases with lymphoma and primary central nervous system tumors, brain metastases and stroke. The prognosis of patients with this condition depends on early diagnosis and effective treatment.


REFERENCES

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  2. Barrezueta Fernández J. Neurotoxoplasmosis en enfermos con VIH/sida: Revisión bibliográfica. Medicina (Guayaquil). 2007[citado 22 mar 2012]; 12(3):251-258. Disponible en: http://bases.bireme.br/cgi-bin/wxislind.exe/iah/online/?IsisScript=iah/iah.xis&

  3. Vega Alonso NE, Quintana Morales O, González Patricio R. Neurotoxoplasmosis como debut de paciente con sida. Acta Médica Centro. 2010[citado 22 mar 2012]; 4(4). Disponible en: http://www.actamedica.sld.cu/r4_10/neurotoxoplasmosis.htm

  4. Abrahantes Rodríguez Y, Pérez Ávila J, Kourí Cardellá V, Fonseca Gómez C, Baly Gil A, Tápanes Fernández T. Factores asociados a la progresión rápida a sida en individuos cubanos. Rev Cub Med Trop. 2010 [citado 22 mar 2012]; 62 (2):146-53 Disponible en: http://www.sld.cu/galerias/pdf/servicios/sida/factores_asociados_a_la_progresion_rapida_a_sida_en_cuba.pdf

  5. Oropesa González L, Sánchez Valdez L, Berdasquera Corcho D, Gala González A, Pérez Ávila JL, Lantero MI. Debut clínico de sida en Cuba. Rev Cub Med Trop. 2007 [citado 22 mar 2012]; 59 (2). Disponible en: http://bvs.sld.cu/revistas/mtr/vol59_2_07/mtr08207.htm

  6. Parra Morales R, Rubio Rodríguez A, Alejandro Garcell A, Ricardo Aguilera N, Sánchez Peña J. Comportamiento clínico de la neurotoxoplasmosis en pacientes con sida. CCM. 2010[citado 23 mar 2012]; 14(4): Disponible en: http://www.cocmed.sld.cu/no144/no144ori02.htm




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