Ischemic cerebrovascular accident associated with bacillary meningoencephalitis in patients with HIV

• Main Authors: Carlos Miguel Rios-González, Lilian Britez-Enciso
• Format: Article
• Language: Spanish
• Published: Universidad de Ciencias Médicas de Las Tunas 2017-12-01
• Series: Revista Electrónica Dr. Zoilo E. Marinello Vidaurreta
• Subjects: tuberculosis, meningeal; aids serodiagnosis; aids-related opportunistic infections; stroke; meningoencephalitis
• Online Access: http://revzoilomarinello.sld.cu/index.php/zmv/article/view/1219

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.