[Arachnoiditis and tuberculuos cortical encephalitis in an HIV+ patient].
HIV infection is a major risk factor for tuberculosis. We describe the case of a 30-year-old male presenting with headache, compromised mental status, seizures, neck stiffness and fever that was subsequently diagnosed with HlV and neuroinfection. Clinical data, cerebrospinal fluid and brain imaging supported a diagnosis of neurotuberculosis. Cranial magnetic resonance imaging showed diffuse arachnoidal enhancement, mainly at the basal cisterns and cortical encephalitis. Such imaging findings play a key role in the diagnosis of central nervous system tuberculosis.
Alatorre-Fernández
Cynthia Pamela
CP
Servicios de Medicina Interna, División de Medicina Interna, Hospital General Dr. Manuel Gea González, Secretaria de Salud, México D.F., México. pamelaalatorre@hotmail.com
Venzor-Castellanos
Juan Pablo
JP
Contreras-Cabrera
Jassive Adriana
JA
Fuentes-venegas
Abel
A
Castro-Martínez
Elvira
E
D000328:Adult; D001100:Arachnoiditis / Q000209:etiology*; D004660:Encephalitis / Q000209:etiology*; D006679:HIV Seropositivity / Q000150:complications*; D006801:Humans; D008297:Male; D016862:Tuberculoma, Intracranial / Q000209:etiology*