Trypanosoma cruzi meningoencephalitis in AIDS mimicking cerebral metastases: case report

Arquivos de Neuro-Psiquiatria

Pedro Camilo A. Pimentel²  Benjamin W. Handfas¹  Márcia Carmignani¹ 

[1] ,Escola Paulista de Medicina Department of Neurology São Paulo,Brazil

关键词: cerebral metastases;    encephalitis;    Chagas' disease;    Trypanosoma cruzi;    AIDS;    metastases cerebrais;    encefalite;    doença de Chagas;    Trypanosoma cruzi;    AIDS;   

DOI  :  10.1590/S0004-282X1996000100017

来源: SciELO

【 摘 要 】

A case of Chagas' meningoencephalitis in a 47 year-old patient with AIDS is presented. The diagnosis was established by examination of the cerebrospinal fluid which showed the presence of Trypanosoma cruzi. CT-scan revealed multiple cerebral lesions which only became evident by contrast administration. A second CT after 13 days showed a severe evolution with displacement of the midline structures leading to the patient's death. This case, as well as other case reports published, has shown the fulminant evolution of Chagas' meningoencephalitis in AIDS patients and the importance of cerebrospinal fluid examination for the diagnosis.

【 授权许可】

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