Mogensen Trine H, Marinovskij Edvard, Larsen Carsten S
Department of Infectious Diseases, Skejby Hospital, University Hospital of Aarhus, Aarhus N, Denmark.
Scand J Infect Dis. 2007;39(6-7):630-4. doi: 10.1080/00365540601137379.
The authors report a patient with sexual exposure, clinical symptoms, MRI, virological and CSF findings suggestive of acute demyelinizating encephalomyelitis (ADEM) as initial presentation of primary HIV infection. The aetiology, pathophysiology, diagnosis, and treatment of ADEM is reviewed, and the sparse existing literature on ADEM and HIV infection is discussed.
作者报告了一名有性暴露史的患者,其临床症状、MRI、病毒学及脑脊液检查结果提示急性脱髓鞘性脑脊髓炎(ADEM)为原发性HIV感染的首发表现。本文对ADEM的病因、病理生理学、诊断及治疗进行了综述,并讨论了关于ADEM与HIV感染的现有少量文献。