2017, Number 2
Rev Mex Neuroci 2017; 18 (2)
Valle-Murillo, MA; Amparo-Carrillo, ME
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ABSTRACTThe field of neuro-infectology is an ever changing area due to the advances in microbiology, cerebrospinal fluid (CSF) analysis and the implementation of new techniques of polymerase chain reaction (PCR) detection. In spite of the new diagnostic tools neuroinfectious still represent a challenge for the first approach physician and the involved specialties such as neurology, infectious diseases specialist, and emergency medicine, because to identify etiologic agent at the moment of arrival is not a simple task and the clinical presentations of a disease can be very heterogeneous. Since the first appearance of human immunodeficiency virus (HIV) and induced immunodeficiency as in the cases of solid organ transplant. Clinicians have been observing a broad range of manifestations ranging from poorly symptomatic presentations such as a mild headache to immunologic reconstitution syndrome accompanied by motor focal symptoms, cranial nerve palsies, and seizures which are commonly seen in the context of HIV patients under management with anti-retroviral therapy.
Currently is of prime importance to the clinician to be aware of the most common manifestations, etiologic agents as well as the diagnostic and therapeutic approaches followed by the advanced management of these entities.