Cerebral infarction related to cryptococcal meningitis in an HIV-infected patient: case report and literature review



Document title: Cerebral infarction related to cryptococcal meningitis in an HIV-infected patient: case report and literature review
Journal: The brazilian journal of infectious diseases
Database: PERIÓDICA
System number: 000290831
ISSN: 1413-8670
Authors: 1



Institutions: 1Instituto Emilio Ribas, Sao Paulo. Brasil
Year:
Season: Abr
Volumen: 8
Number: 2
Pages: 175-179
Country: Brasil
Language: Inglés
Document type: Artículo
Approach: Caso clínico
English abstract Neurological dysfunction as the first manifestation of AIDS has been found in 10 to 20% of symptomatic human immunodeficiency virus infections. However, stroke has rarely been reported in AIDS patients. The most common causes of cerebral infarction in AIDS are central nervous system infections: toxoplasmosis, cryptococcal meningitis and tuberculosis. Potential vascular mechanisms for cerebral infarction and transient neurological deficits among AIDS patients include deposition of antigen-antibody complexes with vasculitis and infarction, and a direct toxic effect of a viral antigen or infectious agent on vascular endothelium. The role of cryptococcal meningitis in vasculopathy is still not clear. We report a case of cerebral infarction in an HIV-infected patient, with cryptococcal meningitis as the first manifestation of AIDS
Disciplines: Medicina,
Biología
Keyword: Neurología,
Hongos,
Inmunología,
SIDA,
Infarto cerebral,
Mecanismos vasculares,
Meningitis criptocócica
Keyword: Medicine,
Biology,
Neurology,
Fungi,
Immunology,
AIDS,
Cerebral infarction,
Vascular mechanisms,
Cryptococcal meningitis
Full text: Texto completo (Ver HTML)