title: [Arachnoiditis and tuberculuos cortical encephalitis in an HIV+ patient].
abstract: 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.
authors.affiliation: Servicios de Medicina Interna, División de Medicina Interna, Hospital General Dr. Manuel Gea González, Secretaria de Salud, México D.F., México. pamelaalatorre@hotmail.com
authors.forename: Cynthia Pamela
authors.initials: CP
authors.lastname: Alatorre-Fernández
authors.forename: Juan Pablo
authors.initials: JP
authors.lastname: Venzor-Castellanos
authors.forename: Jassive Adriana
authors.initials: JA
authors.lastname: Contreras-Cabrera
authors.forename: Abel
authors.initials: A
authors.lastname: Fuentes-venegas
authors.forename: Elvira
authors.initials: E
authors.lastname: Castro-Martínez
mesh_terms: D000328:Adult; D001100:Arachnoiditis / Q000209:etiology*; D004660:Encephalitis / Q000209:etiology*; D006679:HIV Seropositivity / Q000150:complications*; D006801:Humans; D008297:Male; D016862:Tuberculoma, Intracranial / Q000209:etiology*