[Spinal cord toxoplasmosis in HIV infection]. / Toxoplasmose médullaire au cours de l'infection à VIH.
Med Mal Infect
; 39(6): 401-5, 2009 Jun.
Article
em Fr
| MEDLINE
| ID: mdl-19304424
ABSTRACT
We report the case of an atypical localization of a spinal cord "toxoplasmic abscess". The 46-year-old patient, HIV-1 positive, was admitted for acute urine retention and gait disorders. MRI revealed a T12-L1 medullary lesion suggesting a tumoral, inflammatory and infectious pathology. The radiological aspect and immunosuppression lead to the initiation of a treatment against Toxoplasma gondii, following the same treatment principles as for cerebral toxoplasmosis. The diagnosis can only be proved by data from autopsy or surgical biopsy, but toxoplasmosis PCR on CSF seems to be an interesting alternative to confirm the diagnosis. According to the literature, PCR is not sensitive enough as a diagnostic tool. Improvement after treatment supported the diagnosis confirmed by PCR.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Contexto em Saúde:
3_ND
Problema de saúde:
3_neglected_diseases
/
3_zoonosis
Assunto principal:
Toxoplasma
/
Infecções por HIV
Tipo de estudo:
Diagnostic_studies
Limite:
Animals
/
Humans
/
Male
/
Middle aged
Idioma:
Fr
Revista:
Med Mal Infect
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
França