HIV vasculopathy versus VZV vasculitis in an HIV patient with multiple brain ischaemic infarcts

被引：1

作者：

Granja, Manuel F. ^{[1
]}

Monteiro, Andre ^{[1
]}

Day, Jason ^{[2
]}

Hanel, Ricardo ^{[1
]}

机构：

[1] Baptist Neurol Inst, Lyerly Neurosurg, Jacksonville, FL 32207 USA

[2] Baptist Med Ctr Jacksonville, Neurol Inst, Jacksonville, FL USA

来源：

BMJ CASE REPORTS | 2019年 / 12卷 / 07期

关键词：

HIV; AIDS; vasculitis; stroke; neuroimaging;

D O I：

10.1136/bcr-2019-229412

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We report the case of a 56-year-old man who presented to the emergency department with a 3-day onset of left limb weakness and feeling intoxicated with poor balance. Stroke hospitalisations in the USA decreased from 2000 to 2010, however the number of hospitalised patients with ischaemic stroke and HIV infection has increased significantly. Herein, we discuss the management of this unique case to highlight the importance of a broad differential diagnosis when approaching HIV/AIDS patients presenting with acute or subacute neurological focalisation. Given that HIV vasculopathy is a diagnosis of exclusion, it requires a thoughtful elimination of all possible aetiologies.

引用

页数：4

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