Ring enhancing intracranial lesion responding to antituberculous treatment in an HIV-infected patient
Keywords:
Cerebral tuberculoma, Tuberculosis, Central nervous system, HIVAbstract
Cerebral tuberculomas constitute a major differential diagnosis of cerebral toxoplasmosis in human immunodeficiency virus (HIV)-infected patients in developing countries. We report the case of a 34-year old woman co-infected with HIV and possible disseminated tuberculosis (hepatitis, lymphadenopathy, and pleural effusion) who presented a large and solitary intracranial mass lesion. Despite extensive diagnostic efforts, including brain, ganglionar, and liver biopsies, no definitive diagnosis was reached. However, a trial with first-line antituberculous drugs led to a significant clinical and radiological improvement. Atypical presentations of cerebral tuberculomas should always be considered in the differential diagnosis of intracranial mass lesions in HIV-infected patients and a trial with antituberculous drugs is a valuable strategy to infer the diagnosis in a subset of patients.Downloads
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Published
2010-10-01
Issue
Section
Case Reports
How to Cite
Pellegrino, D., Gerhardt, J., Porfírio, F. M., Santos, E. de B., Dauar, R. F., Oliveira, A. C. P. de, & Vidal, J. E. (2010). Ring enhancing intracranial lesion responding to antituberculous treatment in an HIV-infected patient . Revista Do Instituto De Medicina Tropical De São Paulo, 52(5), 285-287. https://www.revistas.usp.br/rimtsp/article/view/31354