Ring enhancing intracranial lesion responding to antituberculous treatment in an HIV-infected patient.
Rev Inst Med Trop Sao Paulo
; 52(5): 285-7, 2010.
Article
em En
| MEDLINE
| ID: mdl-21049236
ABSTRACT
Cerebral tuberculomas constitute a major differential diagnosis of cerebral toxoplasmosis in human immunodeficiency virus (HIV)-infected patients in developing countries. We report the case of a 34-year old woman co-infected with HIV and possible disseminated tuberculosis (hepatitis, lymphadenopathy, and pleural effusion) who presented a large and solitary intracranial mass lesion. Despite extensive diagnostic efforts, including brain, ganglionar, and liver biopsies, no definitive diagnosis was reached. However, a trial with first-line antituberculous drugs led to a significant clinical and radiological improvement. Atypical presentations of cerebral tuberculomas should always be considered in the differential diagnosis of intracranial mass lesions in HIV-infected patients and a trial with antituberculous drugs is a valuable strategy to infer the diagnosis in a subset of patients.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Tuberculoma Intracraniano
/
Infecções Oportunistas Relacionadas com a AIDS
/
Antituberculosos
Limite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
Rev Inst Med Trop Sao Paulo
Ano de publicação:
2010
Tipo de documento:
Article
País de afiliação:
Brasil