title: Encephalitis in primary HIV infection: challenges in diagnosis and treatment.
abstract: We report a case of primary HIV encephalitis, which initially presented as acute psychosis. Magnetic resonance imaging of the brain was suggestive of vasculitis and multiple infarctions, whereas a brain biopsy after six weeks of symptoms showed HIV encephalitis with microglial nodules, but no signs of vasculitis. We review previous reported cases and radiological findings in HIV encephalitis and discuss the role of antiretroviral therapy and steroids in its management.
authors: Department of Infectious Diseases, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark. mhelleberg@sund.ku.dk
authors: M
authors: M
authors: Helleberg
authors: O
authors: O
authors: Kirk
mesh_terms: D000328:Adult; D023241:Antiretroviral Therapy, Highly Active; D001706:Biopsy; D001921:Brain / Q000473:pathology*; D003937:Diagnosis, Differential; D018792:Encephalitis, Viral / Q000175:diagnosis* / Q000188:drug therapy / Q000821:virology; D015658:HIV Infections / Q000134:cerebrospinal fluid / Q000150:complications* / Q000821:virology; D018451:Homosexuality, Male; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011618:Psychotic Disorders / Q000175:diagnosis* / Q000209:etiology; D012367:RNA, Viral / Q000134:cerebrospinal fluid; D016896:Treatment Outcome
chemical_list: D012367:RNA, Viral