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Academia Mexicana de Neurología, A.C.

2017, Number 6

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Rev Mex Neuroci 2017; 18 (6)

Infectios of the Central Nervous System, part 2: Neuroinfections in patients with Infection by Human Immunodeficiency Virus

Valle-Murillo MA, Amparo-Carrillo ME

Language: Spanish
References: 14
Page: 87-97
PDF size: 495.47 Kb.


ABSTRACT

Since the first reports of Human Immunodeficiency Virus (HIV) infection, the field of infectology has changed in a vertiginous way resulting in the appearance of two new subspecialties: HIV infectology and neuroHIV the latter focused in the nervous system complications caused by the virus or its treatment.
About 50-70% of patients with HIV infection have or will develop any syptom or neurologic síndrome at any point during the course of the illness either caused by the virus, an opportunistic infection or as a complication of the drugs. Among the most common Neurological issues are peripheric neuropathies, neuropsychiatric manifestations and aseptic meningitis, however by far the most challenging and complex aspect is the approach of a patient with a suspected neuroinfection in the context of HIV infection, because immune system has been compromised and its response might not be the expected in an immunocompetent patient. That’s why a special algorith must be designed for the diagnosis and management of this population.


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