Cerebral infarction related to cryptococcal meningitis in an HIV-infected patient: case report and literature review
AUTOR(ES)
Leite, Andréa Gurgel Batista, Vidal, José E., Bonasser Filho, Francisco, Nogueira, Roberta Schiavon, Oliveira, Augusto César Penalva de
FONTE
Brazilian Journal of Infectious Diseases
DATA DE PUBLICAÇÃO
2004-04
RESUMO
Neurological dysfunction as the first manifestation of AIDS has been found in 10 to 20% of symptomatic human immunodeficiency virus infections. However, stroke has rarely been reported in AIDS patients. The most common causes of cerebral infarction in AIDS are central nervous system infections: toxoplasmosis, cryptococcal meningitis and tuberculosis. Potential vascular mechanisms for cerebral infarction and transient neurological deficits among AIDS patients include deposition of antigen-antibody complexes with vasculitis and infarction, and a direct toxic effect of a viral antigen or infectious agent on vascular endothelium. The role of cryptococcal meningitis in vasculopathy is still not clear. We report a case of cerebral infarction in an HIV-infected patient, with cryptococcal meningitis as the first manifestation of AIDS.
Documentos Relacionados
- Unusual oral findings of the toxic epidermal necrolysis in an HIV-infected patient: a case report
- Recurrent pneumococcal meningitis in a splenectomised HIV-infected patient
- Cerebral and mediastinal abscesses caused by Nocardia asiatica in an hiv-infected patient
- Facial botryomycosis-like pyoderma in an HIV-infected patient: remission after initiation of darunavir and raltegravir
- Immune reconstitution inflammatory syndrome associated with pulmonary sarcoidosis in an HIV-infected patient: an immunohistochemical study