Seizure as an initial presentation of human immunodeficiency virus: acute toxoplasmosis mimicking glioblastoma multiforme.
We present a case of a 46-year-old man with a history significant only for hypertension and depression that presented with a new onset seizure resulting from a right parietal lobe mass. Further evaluation determined the parietal mass to be central nervous system toxoplasmosis, which was the initial presentation of his underlying HIV/AIDS. This case provided a diagnostic challenge and demonstrates the importance of a thorough evaluation as it pertains to a newly diagnosed brain lesion.
Department of Internal Medicine, Eastern Virginia Medical School, Norfolk, Virginia, USA.
Parth
P
Parekh
Jody P
JP
Boggs
Marc
M
Silverberg
Paul
P
Marik
D001932:Brain Neoplasms / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005909:Glioblastoma / Q000175:diagnosis*; D015658:HIV Infections / Q000150:complications* / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D059906:Neuroimaging; D010296:Parietal Lobe / Q000473:pathology; D012640:Seizures / Q000209:etiology*; D016781:Toxoplasmosis, Cerebral / Q000150:complications* / Q000175:diagnosis / Q000209:etiology / Q000473:pathology