title: Is it toxoplasma encephalitis, HIV encephalopathy or brain tuberculoma?
abstract: A 31-year-old Malaysian man was presented with an episode of seizures by the roadside, after having been recently diagnosed as HIV positive accompanied with miliary tuberculosis. On physical examination, he was oriented to person, but not to time or place. There was no neck stiffness or papilloedema. The other systemic examination was unremarkable. Chest examination revealed crepitations at the upper zone of the right lung. After diagnosis suspicion, the case was confirmed as toxoplasma encephalitis by MRI and serological tests. Patient was treated with trimethoprim/sulfamethoxazole 480-2400 mg/day with folinic acid supplement for 60 days. Two months later, a repeat brain MRI showed resolution of the cerebral lesions.
authors.affiliation: Cyberjaya University College of Medical Sciences, Cyberjaya, Malaysia. aralmadi@yahoo.com
authors.forename: Amal Rashad
authors.initials: AR
authors.lastname: Nimir
authors.forename: Emilia
authors.initials: E
authors.lastname: Osman
authors.forename: Ibrahim Abdel Aziz
authors.initials: IA
authors.lastname: Ibrahim
authors.forename: Ahmed M
authors.initials: AM
authors.lastname: Saliem
mesh_terms: D015526:AIDS Dementia Complex / Q000175:diagnosis; D000328:Adult; D000890:Anti-Infective Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D016781:Toxoplasmosis, Cerebral / Q000175:diagnosis* / Q000188:drug therapy*; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use; D016862:Tuberculoma, Intracranial / Q000175:diagnosis
chemical_list: D000890:Anti-Infective Agents; D015662:Trimethoprim, Sulfamethoxazole Drug Combination