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.
Department of Radiology, UCLA Olive View Medical Center, Sylmar, California 91342, USA.
Vinika V
VV
Chaudhari
Catherine M
CM
Yim
Heba
H
Hathout
Andrew
A
Lai
Suzanne M
SM
Donovan
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