Case Report: Calcified Cerebral Toxoplasmosis Associated with Perilesional Edema in People Living with HIV/AIDS: Case Series of a Presentation Mimicking Neurocysticercosis-Reference-Cited by-同舟云学术

Case Report: Calcified Cerebral Toxoplasmosis Associated with Perilesional Edema in People Living with HIV/AIDS: Case Series of a Presentation Mimicking Neurocysticercosis

Published:2022-05-04 Issue:5 Volume:106 Page:1426-1433
ISSN:0002-9637
Container-title:The American Journal of Tropical Medicine and Hygiene
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Author:

Vidal José E.¹²³,Rivero René L. M.⁴,dos Santos Sigrid de Sousa⁵,Guedes Bruno F.⁶,Gomes Hélio R.⁶⁷,Penalva de Oliveira Augusto C.¹,Garcia Hector H.⁸⁹

Affiliation:

1. 1Departamento de Neurologia, Instituto de Infectologia Emílio Ribas, São Paulo, Brazil;

2. 2Divisão de Moléstias Infecciosas, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil;

3. 3LIM 49, Instituto de Medicina Tropical, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil;

4. 4Setor de Radiologia, Divisão de Apoio ao Diagnóstico e Terapêutica, Instituto de Infectologia Emílio Ribas, São Paulo, Brazil;

5. 5Departamento de Medicina, Universidade Federal de São Carlos, São Carlos, Brazil;

6. 6Departmento de Neurologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil;

7. 7LIM 14, Instituto de Medicina Tropical, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil;

8. 8Centro de Salud Global, Universidad Peruana Cayetano Herédia, Lima, Peru;

9. 9Unidad de Cisticercosis, Instituto de Ciencias Neurológicas, Lima, Peru

Abstract

ABSTRACT. Perilesional edema, associated or not with neurological manifestations, is a well-characterized finding in cases of calcified neurocysticercosis. There are no previous reports of HIV-related calcified toxoplasmosis that mimics this presentation of neurocysticercosis. We report on five patients, four of them with new-onset neurological manifestations, who showed brain calcifications associated with perilesional edema. All cases had a history of HIV-related toxoplasmosis and current virological and immunological control of HIV infection. Similar to neurocysticercosis, brain calcified toxoplasmosis may cause perilesional edema and symptoms in people living with HIV/AIDS.

Publisher

American Society of Tropical Medicine and Hygiene

Subject

Virology,Infectious Diseases,Parasitology

Link

https://www.ajtmh.org/downloadpdf/journals/tpmd/106/5/article-p1426.xml

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