Non Tuberculous Mycobacteria and toxoplasma co-infection of the central nervous system in a patient with AIDS.
New-onset seizures are frequent manifestations in patients infected with Human Immunodeficiency Virus (HIV). We describe the clinical and radiological findings in an 25yr old AIDS patient presenting with new onset seizures as the primary manifestation of cerebral toxoplasmosis and Non Tuberculous Mycobacterial [NTM] co-infection. Cranial computed tomography showed a subtle ventricular dilatation whereas magnetic resonance imaging disclosed prominent temporal horn. Toxoplasma tachyzoites and rapidly growing mycobacteria were recovered from CSF. Seizures were complex partial in nature and refractory to antiepileptic therapy.
Sardar
Partha
P
Department of Medicine, Medical College Kolkata, Kolkata, West Bengal, India. medicopartha@gmail.com
Bandyopadhyay
Dipanjan
D
Roy
Deeptarka
D
Guha
Pradipta
P
Guha
Goutam
G
Banerjee
Amit Kumar
AK
D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis*; D000328:Adult; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009164:Mycobacterium Infections / Q000150:complications* / Q000175:diagnosis; D014057:Tomography, X-Ray Computed; D016781:Toxoplasmosis, Cerebral / Q000150:complications* / Q000175:diagnosis