Is it toxoplasma encephalitis, HIV encephalopathy or brain tuberculoma?

Amal Rashad Nimir, Emelia Osman, Ibrahim Abdel Aziz Ibrahim, Ahmed M. Saliem

Research output: Contribution to journalArticle

3 Citations (Scopus)

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.

Original languageEnglish
JournalBMJ Case Reports
DOIs
Publication statusPublished - 2013

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AIDS Dementia Complex
Miliary Tuberculosis
Tuberculoma
Papilledema
Leucovorin
Sulfamethoxazole Drug Combination Trimethoprim
Toxoplasma
Serologic Tests
Encephalitis
Physical Examination
Seizures
Neck
Thorax
HIV
Lung
Brain

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Is it toxoplasma encephalitis, HIV encephalopathy or brain tuberculoma? / Nimir, Amal Rashad; Osman, Emelia; Ibrahim, Ibrahim Abdel Aziz; Saliem, Ahmed M.

In: BMJ Case Reports, 2013.

Research output: Contribution to journalArticle

Nimir, Amal Rashad ; Osman, Emelia ; Ibrahim, Ibrahim Abdel Aziz ; Saliem, Ahmed M. / Is it toxoplasma encephalitis, HIV encephalopathy or brain tuberculoma?. In: BMJ Case Reports. 2013.
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