Cerebral infarction related to cryptococcal meningitis in an HIV-infected patient: case report and literature review
Braz. j. infect. dis
; 8(2): 175-179, Apr. 2004. ilus
Article
in English
| LILACS, Sec. Est. Saúde SP
| ID: lil-365411
Responsible library:
BR1.1
RESUMO
Neurological dysfunction as the first manifestation of AIDS has been found in 10 to 20 percent of symptomatic human immunodeficiency virus infections. However, stroke has rarely been reported in AIDS patients. The most common causes of cerebral infarction in AIDS are central nervous system infections toxoplasmosis, cryptococcal meningitis and tuberculosis. Potential vascular mechanisms for cerebral infarction and transient neurological deficits among AIDS patients include deposition of antigen-antibody complexes with vasculitis and infarction, and a direct toxic effect of a viral antigen or infectious agent on vascular endothelium. The role of cryptococcal meningitis in vasculopathy is still not clear. We report a case of cerebral infarction in an HIV-infected patient, with cryptococcal meningitis as the first manifestation of AIDS.
Full text:
Available
Collection:
National databases
/
Brazil
Health context:
Neglected Diseases
Health problem:
Tuberculosis
/
Zoonoses
Database:
LILACS
/
Sec. Est. Saúde SP
Main subject:
Cerebral Infarction
/
Meningitis, Cryptococcal
/
AIDS-Related Opportunistic Infections
Limits:
Adult
/
Humans
/
Male
Language:
English
Journal:
Braz. j. infect. dis
Year:
2004
Document type:
Article
Institution/Affiliation country:
Emílio Ribas Institute/BR