Central pontine myelinolysis in advanced HIV infection with tuberculosis and multicentric Castleman's disease

被引:3
|
作者
Katchanov, J. [1 ]
Branding, G. [2 ]
Stocker, H. [1 ]
机构
[1] Auguste Viktoria Klinikum, Dept Infect Dis & Gastroenterol, D-12157 Berlin, Germany
[2] Auguste Viktoria Klinikum, Dept Radiol, D-12157 Berlin, Germany
关键词
HIV; AIDS; Europe; Africa; central pontine myelinolysis; Mycobacterium tuberculosis; TB; multicentric Castleman's disease; EXTRAPONTINE MYELINOLYSIS; AIDS; PATIENT;
D O I
10.1177/0956462413477557
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
We present a case of central pontine myelinolysis (CPM) in a patient with advanced HIV infection and miliary tuberculosis. While hospitalized the patient developed an unusual ataxic variant of CPM with full clinical recovery. Follow-up imaging revealed resolution of pontine lesions. To our knowledge, this is the first report of a clinical and radiological recovery from CPM in advanced HIV disease. Our report extends our knowledge of neurological presentations in patients with advanced HIV infection. It highlights the importance of considering CPM in patients with advanced HIV disease presenting with an ataxic syndrome, even in the absence of an electrolyte derangement.
引用
收藏
页码:583 / 584
页数:2
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