Sica G T, Norton K I
Department of Radiology, Mount Sinai Medical Center (CUNY), New York.
Pediatr Radiol. 1990;21(1):64-5. doi: 10.1007/BF02010819.
Multiple hyperechoic foci were noted on a head sonogram in the basal ganglia and periventricular white matter of an eleven month old, human immunodeficiency virus (HIV) seropositive male infant. The infant presented with failure to thrive, recurrent viral and bacterial infections, and progressive neurologic impairment. Toxoplasmosis, Cytomegalo-inclusion virus and other "TORCH" infections were excluded. A computed tomography (CT) scan of the brain demonstrated multiple punctate calcifications in the above areas. The literature indicates that these changes might be the result of direct HIV infection of the brain. To our knowledge this is the first reported case of the sonographic findings.
在一名11个月大的血清学检测呈人类免疫缺陷病毒（HIV）阳性的男婴的脑部超声检查中，发现基底神经节和脑室周围白质有多个高回声灶。该婴儿出现生长发育迟缓、反复的病毒和细菌感染以及进行性神经功能损害。已排除弓形虫病、巨细胞包涵体病毒和其他“TORCH”感染。脑部计算机断层扫描（CT）显示上述区域有多个点状钙化。文献表明，这些变化可能是HIV直接感染脑部的结果。据我们所知，这是首次报道的具有这些超声检查结果的病例。
