CT FINDINGS OF BRAIN-INFECTIONS IN THE HIV-POSITIVE PATIENTS WITH THE CORRELATED PATHOGENS
Keywords:
AIDS-Brain computed tomography-Brain infectionsAbstract
ummary. Sixty HIV-positive patients admitted because of brain infection. Cryptococcosis, toxoplasmosis and tuberculosis were the main infectious processes. Twenty-eight cases had CT brain images. Causing organism of the neurological problems were verified by CSF-culture, CSF-PCR and serum titer. Every case showed a good response to the treatment. Fifteen patients had cryptococcosis; 60% showed normal pattern, 20% showed mild atrophy, 6.7% showed mild hydrocephalus, abnormal enhancement and enhanced nodule without surrounding edema. Eight cases were toxoplasmosis and all cases presented with multiple ring enhanced lesions with surrounding edema. Three cases had mixed infections of cryptococcosis and tuberculosis and showed normal pattern. One case of tuberculosis showed low density of white matter without nidus and another case showed infarction of the basal ganglia.
Downloads
Metrics
References
Potegies P. Clinical neurology of AIDS. In:redders J.W.A.J., et al Diagnostic imaging of AIDS. Stuttgart New York: Georg Thieme Verlag, 1992:34-39.
Levy RM, Rosenbloom S, Perrett CV. Neuroradiologic findings in AIDS: A review of 200 cases. AJNR 1986; 7:833-39.
Papovich MJ, Arthur RH, Helmer E. CT of intra- cranial cryptococcosis. AJNR 1990;11;139-42.
Tien RD, Chu PK, Hesseling JR. Intracranial cryp- tococcosis in immunocompromised patients: CT and MR findings in 29 cases. AJNR 1991;12:283-89.
Mathews VP, Alo PL, Glass JD, Kumar AJ, McArthur JC. AIDS-related CNS Cryptococcosis: Radiologic- Pathologic Correlation. AJNR 1992;13:1477-86.
Chang KH, Han MH, Roh JK, KIm IO, Hans MC, Kim C-W. Gd-DTPA enhanced MR imaging of the brain in patients with meningitis. Comparison with CT. AJNR 1990;11:69-76.
Nicholas J, Patronas and Erini V, Makariou. MRI of Choroidal Plexus involvement in intracranial cryptococcossis. J Comput Assist Tomogr. 1993;17:547-50.
Dina TS. Primary central nervous system lymphoma versus toxoplasmois in AIDS. Radiology 1991;179: 823-28.
Kelly WM, Brant-Zawadzki M. Acquired immunode- ficiency syndrome: neuroradiologic findings. Radiology 1983;149:485-91.
Whelan MA, Kricheff II, Handler M, et al. Acquired immunodeficiency syndrome: neuroradiologic findings. Radiology 1983;149:477-84
Elkin CM, Leon E, Grenell SL, Leeds NE. Intracranial lesions in the acquired immunodeficiency syndrome: radiological (computed tomographic) features. JAMA 1985;253:393-96.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 The ASEAN Journal of Radiology
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Disclosure Forms and Copyright Agreements
All authors listed on the manuscript must complete both the electronic copyright agreement. (in the case of acceptance)