Please use this identifier to cite or link to this item: https://observatorio.fm.usp.br/handle/OPI/33589
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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorPELLEGRINO, D.
dc.contributor.authorLIMA, Patricia Picciarelli de
dc.contributor.authorOLIVEIRA, Augusto Cesar Penalva de
dc.contributor.authorVIDAL, Jose E.
dc.date.accessioned2019-09-23T14:21:33Z-
dc.date.available2019-09-23T14:21:33Z-
dc.date.issued2019
dc.identifier.citationINTERNATIONAL JOURNAL OF STD & AIDS, v.30, n.9, p.930-933, 2019
dc.identifier.issn0956-4624
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/33589-
dc.description.abstractWe report the case of a previously healthy 29-year-old man who has sex with men who was admitted with sub-acute onset of headache, seizures and altered mental status. Physical examination revealed oral thrush, mental confusion and right hemiparesis. An unenhanced computed tomography of the brain revealed multiple rounded hemorrhages associated with perilesional edema and no enhancement was seen after contrast infusion. A rapid test for HIV-1 was positive and the CD4 T-lymphocyte count was 120 cells/mm(3). Pyrimethamine, sulfadiazine plus folinic acid and dexamethasome were started. After two weeks of treatment, the clinical condition and neuroimaging of the patient remained unaltered. A stereotactic brain biopsy was performed and the histopathologic examination confirmed the diagnosis of hemorrhagic toxoplasmosis. After a longer course of anti-Toxoplasma treatment due to an incomplete clinical and radiological response, the patient was discharged home. Hemorrhagic toxoplasmosis is a rare presentation of cerebral toxoplasmosis and should be considered in the differential diagnosis of hemorrhagic cerebral lesions in HIV-infected patients in order to initiate specific treatment promptly.eng
dc.language.isoeng
dc.publisherSAGE PUBLICATIONS LTDeng
dc.relation.ispartofInternational Journal of STD & AIDS
dc.rightsrestrictedAccesseng
dc.subjectCerebral toxoplasmosiseng
dc.subjecttoxoplasmosiseng
dc.subjectdiagnostic imagingeng
dc.subjectdiagnosiseng
dc.subjectAIDSeng
dc.subject.othercerebral toxoplasmosiseng
dc.subject.otherintracerebral hemorrhageeng
dc.subject.otheraidseng
dc.subject.otherencephalitiseng
dc.titleHemorrhagic brain lesions in a newly diagnosed HIV-1 infected patienteng
dc.typearticleeng
dc.rights.holderCopyright SAGE PUBLICATIONS LTDeng
dc.identifier.doi10.1177/0956462419845965
dc.identifier.pmid31159716
dc.subject.wosImmunologyeng
dc.subject.wosInfectious Diseaseseng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
hcfmusp.author.externalPELLEGRINO, D.:Inst Med, Infectol Emilio Ribas, Dept Infect Dis, Sao Paulo, Brazil
hcfmusp.author.externalOLIVEIRA, Augusto Cesar Penalva de:Infectol Emilio Ribas, Inst Med, Dept Neurol, Sao Paulo, Brazil
hcfmusp.description.beginpage930
hcfmusp.description.endpage933
hcfmusp.description.issue9
hcfmusp.description.volume30
hcfmusp.origemWOS
hcfmusp.origem.idWOS:000481498200015
hcfmusp.origem.id2-s2.0-85067853151
hcfmusp.publisher.cityLONDONeng
hcfmusp.publisher.countryENGLANDeng
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dc.description.indexMEDLINEeng
dc.identifier.eissn1758-1052
hcfmusp.citation.scopus3-
hcfmusp.scopus.lastupdate2022-07-15-
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Artigos e Materiais de Revistas Científicas - HC/ICHC
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LIM/49 - Laboratório de Protozoologia

Artigos e Materiais de Revistas Científicas - ODS/03
ODS/03 - Saúde e bem-estar


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