Cerebral tuberculomas in AIDS patients: A forgotten diagnosis?

José E. Vidal, Adrian V. Hernández, Augusto C. Penalva De Oliveira, Alexandre De Souza, Geraldine Madalosso, Paula R.Marques Da Silva, R. Dauar

Resultado de la investigación: Contribución a una revistaArtículorevisión exhaustiva

12 Citas (Scopus)

Resumen

The human immunodeficiency virus (HIV) infection epidemics increased the prevalence, multi-drug resistance and disseminated forms of tuberculosis. The central nervous system (CNS) tuberculosis has high mortality and morbidity, and it is usually divided into diffuse (meningitis) and localized (tuberculoma and abscess) forms. We report three cases of cerebral tuberculomas in AIDS patients: one with definitive diagnosis, confirmed with histopathology, and two with probable diagnosis, based on clinical information, radiological images, Mycobaterium tuberculosis isolation out of the CNS and adequate response to antituberculous treatment. Further, we discuss diagnostic, therapeutic and prognostic issues of tuberculomas, with emphasis in the distinction from cerebral tuberculous abscesses. Despite of their infrequent presentation, tuberculomas should be considered in the differential diagnosis of cerebral expansive lesions in patients with AIDS.

Idioma originalInglés
Páginas (desde-hasta)793-796
Número de páginas4
PublicaciónArquivos de Neuro-Psiquiatria
Volumen62
N.º3 B
DOI
EstadoPublicada - sep 2004
Publicado de forma externa

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