| Summary: | Tuberculous meningitis is difficult to be diagnosed, it is not important according to morbidity, but it does have a high mortality rate among the affected people. Cerebral infarction occurs in a significant percentage of the patients with tuberculous meningitis. This study presents the case of a 25-year-old male patient with a diagnosis of HIV with a 9-year progress, who visited the office due to clinical manifestations of repeated vomits. Laboratory and radiological studies were ordered. The patient was admitted with a probable diagnosis of a convulsive syndrome to be determined, bacillary meningoencephalitis, probable progressive multifocal leukoencephalopathy and C3 retrovirus. A cerebrovascular accident is later confirmed with bacillary meningoencephalitis. After 4 months of treatment and a constant follow-up the positive progress of the patient was verified.
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