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[Toxoplasma encephalitis with atypical manifestation and normal CT].

Abstract

A case of cerebral toxoplasmosis in a HIV-positive man with unusual clinical manifestations and a normal computed tomographic (CT) scanning is presented. Even though most patients with cerebral toxoplasmosis have focal neurological deficits on physical examination, the patients can also present with more diffuse symptoms. Neither the lack of antitoxoplasma antibodies nor normal findings at CT scanning exclude the diagnosis of toxoplasma encephalitis. The sensitivity is higher with magnetic resonance than with CT scanning. We present a case story that demonstrate how delusive cerebral toxoplasmosis can be in HIV positive patients. It is recommended that the possibility of cerebral toxoplasmosis be considered in every HIV-positive patient with neurological symptoms and empirical therapy be instituted on wide indications.

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Authors+Show Affiliations

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Københavns Universitet, Neuropatologisk Institut, H:S Rigshospitalet.

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Source

Ugeskrift for laeger 160:30 1998 Jul 20 pg 4430-2

MeSH

AIDS-Related Opportunistic Infections
Diagnosis, Differential
Encephalitis
HIV Seropositivity
Humans
Male
Middle Aged
Tomography, X-Ray Computed
Toxoplasmosis, Cerebral

Pub Type(s)

Case Reports
Journal Article

Language

dan

PubMed ID

9691837

Citation

Katzenstein, T L., et al. "[Toxoplasma Encephalitis With Atypical Manifestation and Normal CT]." Ugeskrift for Laeger, vol. 160, no. 30, 1998, pp. 4430-2.
Katzenstein TL, Oster S, Kiss K. [Toxoplasma encephalitis with atypical manifestation and normal CT]. Ugeskr Laeg. 1998;160(30):4430-2.
Katzenstein, T. L., Oster, S., & Kiss, K. (1998). [Toxoplasma encephalitis with atypical manifestation and normal CT]. Ugeskrift for Laeger, 160(30), pp. 4430-2.
Katzenstein TL, Oster S, Kiss K. [Toxoplasma Encephalitis With Atypical Manifestation and Normal CT]. Ugeskr Laeg. 1998 Jul 20;160(30):4430-2. PubMed PMID: 9691837.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Toxoplasma encephalitis with atypical manifestation and normal CT]. AU - Katzenstein,T L, AU - Oster,S, AU - Kiss,K, PY - 1998/8/6/pubmed PY - 1998/8/6/medline PY - 1998/8/6/entrez SP - 4430 EP - 2 JF - Ugeskrift for laeger JO - Ugeskr. Laeg. VL - 160 IS - 30 N2 - A case of cerebral toxoplasmosis in a HIV-positive man with unusual clinical manifestations and a normal computed tomographic (CT) scanning is presented. Even though most patients with cerebral toxoplasmosis have focal neurological deficits on physical examination, the patients can also present with more diffuse symptoms. Neither the lack of antitoxoplasma antibodies nor normal findings at CT scanning exclude the diagnosis of toxoplasma encephalitis. The sensitivity is higher with magnetic resonance than with CT scanning. We present a case story that demonstrate how delusive cerebral toxoplasmosis can be in HIV positive patients. It is recommended that the possibility of cerebral toxoplasmosis be considered in every HIV-positive patient with neurological symptoms and empirical therapy be instituted on wide indications. SN - 0041-5782 UR - https://www.unboundmedicine.com/medline/citation/9691837/[Toxoplasma_encephalitis_with_atypical_manifestation_and_normal_CT]_ L2 - https://medlineplus.gov/encephalitis.html DB - PRIME DP - Unbound Medicine ER -