[Clinical analysis of 16 AIDS patients complicated with toxoplasmic encephalitis].
Sixteen AIDS patients complicated with toxoplasmic encephalitis (TE) were retrospectively analyzed between August 2008 to August 2009 with a mean age of (37.0 +/- 11.6) years. The most common clinical symptoms were headache (68.8%, 11/16) and fever (62.5%, 10/16), and 6 with Babinski sign (37.5%). 81.3%(13/16) were with CD4+ cells < 200/mm. Both sera and CSF showed 62.5% (10/16) TOXO-IgG positive by ELISA. CT and MRI scan demonstrated bilateral and multiple lesions with marked peripheral edema effect, and an enhanced scanning showed small finger ring as the major feature. 15 patients got improved by either oral sulphadiazine tablets or sulphadiazine tablets plus clindamycin capsule, 10 cases received combined HAART treatment, and 1 case died with septic shock.
Zhao
Jian-Rong
JR
General Department, Infectious Disease Hospital For Yunnan Province, Kunming 650301, China.
Zhang
Sha
S
Du
Jian-Ping
JP
Wang
Shu
S
Wang
Da-Yong
DY
D017088:AIDS-Related Opportunistic Infections / Q000150:complications / Q000469:parasitology*; D000163:Acquired Immunodeficiency Syndrome / Q000150:complications / Q000469:parasitology*; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016781:Toxoplasmosis, Cerebral / Q000150:complications*; D055815:Young Adult