HIV-2 infection with cerebral toxoplasmosis and lymphomatoid granulomatosis

被引:8
作者
Issakhanian, M
Chang, L
Cornford, M
Witt, M
Speck, O
Goldberg, M
Ernst, T
机构
[1] Brookhaven Natl Lab, Dept Med, Upton, NY 11973 USA
[2] Univ Calif Los Angeles, Harbor Med Ctr, Sch Med, Dept Neurol, Torrance, CA 90509 USA
[3] Univ Calif Los Angeles, Harbor Med Ctr, Sch Med, Dept Pathol, Torrance, CA 90509 USA
[4] Univ Calif Los Angeles, Harbor Med Ctr, Sch Med, Dept Med, Torrance, CA 90509 USA
[5] Univ Calif Los Angeles, Harbor Med Ctr, Sch Med, Dept Radiol, Torrance, CA 90509 USA
关键词
brain; magnetic resonance imaging (MRI); perfusion MRI; HIV-2; toxoplasmosis; lymphomatoid granulomatosis;
D O I
10.1111/j.1552-6569.2001.tb00037.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A Nigerian man had acute onset of headache and vertigo due to a cerebellar mass. A brain biopsy of the mass revealed toxoplasmosis despite repeated negative HIV-1 serology. The presence of an opportunistic infection and his country of origin raised the suspicion for HIV-2; this was confirmed by positive HIV-2 serology. Despite his preliminary pathological diagnosis, results of physiological magnetic resonance imaging (MRI) (perfusion MRI and proton magnetic resonance spectroscopy) were not typical for toxoplasmosis. The lesion showed a biochemical and perfusion pattern that was intermediate for infectious and neoplastic processes. Further neuropathology confirmed a secondary diagnosis of lymphomatoid granulomatosis.
引用
收藏
页码:212 / 216
页数:5
相关论文
共 12 条
[1]  
ANDERS K, 1989, HUM PATHOL, V20, P344
[2]   ISOLATION OF A T-LYMPHOTROPIC RETROVIRUS FROM A PATIENT AT RISK FOR ACQUIRED IMMUNE-DEFICIENCY SYNDROME (AIDS) [J].
BARRESINOUSSI, F ;
CHERMANN, JC ;
REY, F ;
NUGEYRE, MT ;
CHAMARET, S ;
GRUEST, J ;
DAUGUET, C ;
AXLERBLIN, C ;
VEZINETBRUN, F ;
ROUZIOUX, C ;
ROZENBAUM, W ;
MONTAGNIER, L .
SCIENCE, 1983, 220 (4599) :868-871
[3]   EXPRESSION OF EPSTEIN-BARR-VIRUS PROTEINS IN PRIMARY CNS LYMPHOMA IN AIDS PATIENTS [J].
BASHIR, R ;
LUKA, J ;
CHELOHA, K ;
CHAMBERLAIN, M ;
HOCHBERG, F .
NEUROLOGY, 1993, 43 (11) :2358-2362
[4]  
CHANDRAMOULI B, 1995, RADIOLOGY, V197, P527
[5]  
CHANG L, 1995, AM J NEURORADIOL, V16, P1653
[6]   NEUROPATHOLOGY OF THE ACQUIRED-IMMUNE-DEFICIENCY-SYNDROME (AIDS) - REPORT OF 39 AUTOPSIES FROM VANCOUVER, BRITISH-COLUMBIA [J].
CORNFORD, ME ;
HOLDEN, JK ;
BOYD, MC ;
BERRY, K ;
VINTERS, HV .
CANADIAN JOURNAL OF NEUROLOGICAL SCIENCES, 1992, 19 (04) :442-452
[7]   Cerebral toxoplasmosis and lymphoma in AIDS: Perfusion MR imaging experience in 13 patients [J].
Ernst, TM ;
Chang, L ;
Witt, MD ;
Aronow, HA ;
Cornford, ME ;
Walot, I ;
Goldberg, MA .
RADIOLOGY, 1998, 208 (03) :663-669
[8]   ISOLATION OF HUMAN T-CELL LEUKEMIA-VIRUS IN ACQUIRED IMMUNE-DEFICIENCY SYNDROME (AIDS) [J].
GALLO, RC ;
SARIN, PS ;
GELMANN, EP ;
ROBERTGUROFF, M ;
RICHARDSON, E ;
KALYANARAMAN, VS ;
MANN, D ;
SIDHU, GD ;
STAHL, RE ;
ZOLLAPAZNER, S ;
LEIBOWITCH, J ;
POPOVIC, M .
SCIENCE, 1983, 220 (4599) :865-867
[9]  
HERR MD, 1995, JAMA-J AM MED ASSOC, V274, P1007
[10]   INFECTION WITH THE HUMAN-IMMUNODEFICIENCY-VIRUS TYPE-2 [J].
MARKOVITZ, DM .
ANNALS OF INTERNAL MEDICINE, 1993, 118 (03) :211-218