Cauda equina enhancing lesion in an HIV-infected patient. Case report and literature review

We report the case of an HIV-infected young men with neuro-toxoplasmosis localized in the spinal cord. The patient received chemotherapy and immunotherapy for Burkitt lymphoma one year before. At the time of the diagnosis of toxoplasmosis, he was on prophylaxis with trimethoprim and sulfamethoxazo...

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Bibliographic Details
Main Author: Luciana Teofili
Format: Article
Language:English
Published: PAGEPress Publications 2014-08-01
Series:Mediterranean Journal of Hematology and Infectious Diseases
Subjects:
HIV
Online Access:https://mjhid.org/index.php/mjhid/article/view/1822
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spelling doaj-1b5910c1988b47f8a20d0a49d5818c3d2020-11-25T03:22:52ZengPAGEPress PublicationsMediterranean Journal of Hematology and Infectious Diseases2035-30062014-08-011Cauda equina enhancing lesion in an HIV-infected patient. Case report and literature reviewLuciana Teofili0Catholic University, Rome We report the case of an HIV-infected young men with neuro-toxoplasmosis localized in the spinal cord. The patient received chemotherapy and immunotherapy for Burkitt lymphoma one year before. At the time of the diagnosis of toxoplasmosis, he was on prophylaxis with trimethoprim and sulfamethoxazole and in complete remission of Burkitt lymphoma. The CD4+ T cell count was 270 /ml and the HIV viremia was undetectable. These findings suggest that in this patient, the immunodeficiency promoting the neurologic toxoplasmosis arose more from previous immuno-chemotherapy than from the HIV- infection itself. On the whole, this case highlights that the risk stratification for opportunistic infections of HIV-infected patients should carefully consider their previous medical history and therapies received. https://mjhid.org/index.php/mjhid/article/view/1822LymphomaHIV
collection DOAJ
language English
format Article
sources DOAJ
author Luciana Teofili
spellingShingle Luciana Teofili
Cauda equina enhancing lesion in an HIV-infected patient. Case report and literature review
Mediterranean Journal of Hematology and Infectious Diseases
Lymphoma
HIV
author_facet Luciana Teofili
author_sort Luciana Teofili
title Cauda equina enhancing lesion in an HIV-infected patient. Case report and literature review
title_short Cauda equina enhancing lesion in an HIV-infected patient. Case report and literature review
title_full Cauda equina enhancing lesion in an HIV-infected patient. Case report and literature review
title_fullStr Cauda equina enhancing lesion in an HIV-infected patient. Case report and literature review
title_full_unstemmed Cauda equina enhancing lesion in an HIV-infected patient. Case report and literature review
title_sort cauda equina enhancing lesion in an hiv-infected patient. case report and literature review
publisher PAGEPress Publications
series Mediterranean Journal of Hematology and Infectious Diseases
issn 2035-3006
publishDate 2014-08-01
description We report the case of an HIV-infected young men with neuro-toxoplasmosis localized in the spinal cord. The patient received chemotherapy and immunotherapy for Burkitt lymphoma one year before. At the time of the diagnosis of toxoplasmosis, he was on prophylaxis with trimethoprim and sulfamethoxazole and in complete remission of Burkitt lymphoma. The CD4+ T cell count was 270 /ml and the HIV viremia was undetectable. These findings suggest that in this patient, the immunodeficiency promoting the neurologic toxoplasmosis arose more from previous immuno-chemotherapy than from the HIV- infection itself. On the whole, this case highlights that the risk stratification for opportunistic infections of HIV-infected patients should carefully consider their previous medical history and therapies received.
topic Lymphoma
HIV
url https://mjhid.org/index.php/mjhid/article/view/1822
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