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获得性免疫缺陷综合征患者的弓形虫性脑炎

Toxoplasmic Encephalitis in Patient with Acquired Immunodeficiency Syndrome.

作者信息

Lee Sang-Bok, Lee Tae-Gyu

机构信息

Department of Neurosurgery, Uijeongbu St. Mary's Hospital, The Catholic University of Korea School of Medicine, Uijeongbu, Korea.

出版信息

Brain Tumor Res Treat. 2017 Apr;5(1):34-36. doi: 10.14791/btrt.2017.5.1.34. Epub 2017 Apr 30.

DOI:10.14791/btrt.2017.5.1.34
PMID:28516077
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5433949/
Abstract

Toxoplasmic encephalitis (TE) is an opportunistic infection found in immunocompromised patients and TE related cerebral mass lesion is often reported in acquired immunodeficiency acquired immunodeficiency syndrome (AIDS) patients. However, incidence of TE related AIDS in Korea is still rare and is unfamiliar to neurosurgeons. Differential diagnosis is needed to rule out other brain lesions. A 39-year-old man visited the emergency room with rapid progressive left hemiparesis. Magnetic resonance imaging showed a ring-enhanced mass lesion in his right frontal lobe. Human immunodeficiency virus and immunoglobulin G were tested positive by a serologic test. We report here a rare case of patient with TE related AIDS.

摘要

弓形虫性脑炎（TE）是免疫功能低下患者中发现的一种机会性感染，与TE相关的脑实质病变在获得性免疫缺陷综合征（AIDS）患者中常有报道。然而，韩国与AIDS相关的TE发病率仍然很低，神经外科医生对此并不熟悉。需要进行鉴别诊断以排除其他脑部病变。一名39岁男性因快速进展的左侧偏瘫就诊于急诊室。磁共振成像显示其右额叶有一个环形强化的实质性病变。血清学检测显示人类免疫缺陷病毒和免疫球蛋白G呈阳性。我们在此报告一例罕见的与AIDS相关的TE患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33d2/5433949/ff0e0b53400b/btrt-5-34-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33d2/5433949/2e10e2d28b9a/btrt-5-34-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33d2/5433949/3320bf40ff02/btrt-5-34-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33d2/5433949/ff0e0b53400b/btrt-5-34-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33d2/5433949/2e10e2d28b9a/btrt-5-34-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33d2/5433949/3320bf40ff02/btrt-5-34-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33d2/5433949/ff0e0b53400b/btrt-5-34-g003.jpg

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A comparative study of multimodal magnetic resonance in the differential diagnosis of acquired immune deficiency syndrome related primary central nervous system lymphoma and infection.获得性免疫缺陷综合征相关原发性中枢神经系统淋巴瘤与感染的多模态磁共振成像鉴别诊断的对比研究。
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