Affiliation:
1. Department of Neurology and Microbiology, Dr. R. M. L. Hospital, New Delhi, India
Abstract
Few cases of HIV and neurocysticercosis co-infection have been reported till date. The symptomatic manifestation of cysticercosis may be further reduced by interactions between the 2 disease processes. In patients with HIV, the diagnosis of neurocysticercosis is challenging and management must be individualized depending on the stage and the coexistent opportunistic conditions. We present 2 such cases. First was a 35-year-old driver seropositive for HIV-1 presented with complex partial seizures and a CD4 count of 530 cells/mm3. The second case was a 40-year-old businessman with a CD4 count of 350 cells/mm3. Both of them had multiple parenchymal lesions, with 1 being a large cystic lesion. Relatively high CD4 count and a positive enzyme-linked immunosorbent assay increased the likelihood for diagnosis and treatment. Both of our patients received cysticidal therapy, and none of them deteriorated with treatment.
Subject
Infectious Diseases,Dermatology,Immunology
Cited by
12 articles.
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