Cytomegalovirus encephalomyelomeningoradiculitis in acquired immunodeficiency syndrome (AIDS).
Acute inflammatory polyradiculitis represents an uncommon peripheral nerve complication during HIV infection. The case of an HIV-seropositive patient who was admitted to hospital for a cauda equina syndrome is reported. Despite early application of anticytomegalic medication, a cytomegalovrirus (CMV) infection spread out to the central nervous system (CNS), causing the patient's death. A post-mortem examination confirmed the diagnosis of CMV-encephalomyelomeningoradiculitis. To the authors' knowledge, such a progress of a CMV-related polyradiculitis to an encephalomyelomeningoradiculitis has not yet been described. The clinical features of this case will aid in the recognition of CMV-related neurological complications, and may permit earlier and perhaps more successful treatment.
Lüttmann
S
S
Department of Neurology, University of Münster, Germany.
Husstedt
I W
IW
Lügering
N
N
Heese
C
C
Stoll
R
R
Domschke
W
W
Evers
S
S
Kuchelmeister
K
K
Gullotta
F
F
D017088:AIDS-Related Opportunistic Infections / Q000150:complications* / Q000821:virology; D000208:Acute Disease; D000328:Adult; D001921:Brain / Q000473:pathology; D003587:Cytomegalovirus; D003586:Cytomegalovirus Infections / Q000150:complications* / Q000175:diagnosis / Q000821:virology; D004679:Encephalomyelitis / Q000175:diagnosis / Q000821:virology*; D017809:Fatal Outcome; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011128:Polyradiculopathy / Q000175:diagnosis / Q000821:virology*