Cerebral toxoplasmosis in a patient with the acquired immunodeficiency syndrome presenting as obstructive hydrocephalus.
We report the case of an adult AIDS-patient with an unusual pattern of toxoplasmic encephalitis resembling the congenital form of the disease. Extensive exudative ependymitis and plexitis caused obstruction of internal CSF-pathways with rapid development of hydrocephalus. CT showed hydrocephalus and multifocal hypodense non-enhancing lesions. Direct microscopy of the CSF demonstrated Toxoplasma organisms.
Eggers
C
C
Abteilung für Neurologie, Universitätsklinik Hamburg-Eppendorf, Germany.
Vortmeyer
A
A
Emskötter
T
T
D017088:AIDS-Related Opportunistic Infections / Q000150:complications / Q000175:diagnosis*; D000328:Adult; D004805:Ependyma; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology*; D008297:Male; D016781:Toxoplasmosis, Cerebral / Q000150:complications / Q000175:diagnosis*