Calcified cerebral toxoplasmosis associated with recurrent perilesional edema causing neurological manifestations in an HIV-infected individual: case report with a decade-long follow-up

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art_BONATO_Calcified_cerebral_toxoplasmosis_associated_with_recurrent_perilesional_edema_2024.PDF (1.24 MB)
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0
Tipo de produção
article
Data de publicação
2024
DOI
Scopus
Web of Science
PubMed
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Título da Revista
ISSN da Revista
Título do Volume
Editora
INST MEDICINA TROPICAL SAO PAULO
Autores
BONATO, Flavia Carolina Soares
RIVERO, Rene Leandro Magalhaes
GARCIA, Hector Hugo
Citação
REVISTA DO INSTITUTO DE MEDICINA TROPICAL DE SAO PAULO, v.66, article ID e15, 6p, 2024
Projetos de Pesquisa
Unidades Organizacionais
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Resumo
Four cases of people living with HIV/AIDS (PLWHA) with calcified cerebral toxoplasmosis associated with perilesional edema causing a single episode of neurological manifestations have recently been reported. Here, we describe the first detailed description of perilesional edema associated with calcified cerebral toxoplasmosis causing three episodes of neurological manifestations in a PLWHA, including seizures in two of them. These recurrences occurred over approximately a decade. Throughout this period, the patient showed immunological and virological control of the HIV infection, while using antiretroviral therapy regularly. This case broadens the spectrum of an emerging presentation of calcified cerebral toxoplasmosis, mimicking a well -described finding of neurocysticercosis in immunocompetent hosts.
Palavras-chave
Cerebral toxoplasmosis, Pathologic calcification, Edema, Neuroimaging, HIV
URI
https://observatorio.fm.usp.br/handle/OPI/59139
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Coleções
Artigos e Materiais de Revistas Científicas - HC/ICHC