AI Article Synopsis

  • A 31-year-old Malaysian man with recent diagnoses of HIV and miliary tuberculosis suffered from seizures and was found disoriented, but lacked other severe neurological symptoms.
  • Medical evaluation revealed lung crepitations, leading to suspicion of an additional infection.
  • MRI and serological tests confirmed toxoplasma encephalitis, for which he was treated with trimethoprim/sulfamethoxazole, resulting in resolution of brain lesions two months later.

Article Abstract

A 31-year-old Malaysian man was presented with an episode of seizures by the roadside, after having been recently diagnosed as HIV positive accompanied with miliary tuberculosis. On physical examination, he was oriented to person, but not to time or place. There was no neck stiffness or papilloedema. The other systemic examination was unremarkable. Chest examination revealed crepitations at the upper zone of the right lung. After diagnosis suspicion, the case was confirmed as toxoplasma encephalitis by MRI and serological tests. Patient was treated with trimethoprim/sulfamethoxazole 480-2400 mg/day with folinic acid supplement for 60 days. Two months later, a repeat brain MRI showed resolution of the cerebral lesions.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3645136PMC
http://dx.doi.org/10.1136/bcr-2013-008803DOI Listing

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