Primary HIV Infection with Acute Transverse Myelitis

被引:10
作者
Hamada, Yohei [1 ]
Watanabe, Koji [1 ]
Aoki, Takahiro [1 ]
Arai, Noritoshi [2 ]
Honda, Miwako [1 ]
Kikuchi, Yoshimi [1 ]
Oka, Shinichi [1 ]
机构
[1] Natl Ctr Global Hlth & Med, AIDS Clin Ctr, Tokyo, Japan
[2] Natl Ctr Global Hlth & Med, Dept Neurol, Tokyo, Japan
关键词
acute transverse myelitis; primary HIV infection; cART; HUMAN-IMMUNODEFICIENCY-VIRUS; DIAGNOSTIC-CRITERIA; MANAGEMENT;
D O I
10.2169/internalmedicine.50.5186
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Primary HIV infection (PHI) is associated with various neurological disorders. However, acute transverse myelitis (ATM) complicating PHI has not been reported after the introduction of the combination antiretroviral therapy (cART). We encountered one patient with known PHI with clinical presentation of ATM. Treatment with cART and corticosteroids successfully improved symptoms, and no recurrence was noted after discontinuation of cART. In conclusion, concurrent use of cART and corticosteroids was effective against PHI accompanied by ATM and could be withdrawn after improvement of ATM.
引用
收藏
页码:1615 / 1617
页数:3
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