Atypical imaging appearance of toxoplasmosis in an HIV patient as a butterfly lesion.
In acquired immunodeficiency syndrome (AIDS) patients, differentiating toxoplasmosis and primary central nervous system (CNS) lymphoma remains a clinical and radiographic dilemma. The presence of butterfly lesions crossing the corpus callosum is customarily used to exclude the possibility of toxoplasmosis. We present an AIDS patient who had Epstein-Barr virus (EBV) polymerase chain reaction (PCR) -positive cerebrospinal fluid studies with a butterfly toxoplasmosis lesion confirmed by multiple methods signifying the importance of including toxoplasmosis in the differential diagnosis of butterfly lesions.
Chaudhari
Vinika V
VV
Department of Radiology, UCLA Olive View Medical Center, Sylmar, California 91342, USA.
Yim
Catherine M
CM
Hathout
Heba
H
Lai
Andrew
A
Donovan
Suzanne M
SM
D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis* / Q000188:drug therapy; D000328:Adult; D003337:Corpus Callosum / Q000469:parasitology*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008223:Lymphoma / Q000175:diagnosis; D008279:Magnetic Resonance Imaging / Q000379:methods*; D016133:Polymerase Chain Reaction; D014123:Toxoplasmosis / Q000175:diagnosis* / Q000188:drug therapy