Acute encephalitis as initial presentation of primary HIV infection

Acute encephalitis is a life-threatening condition. A wide variety of infectious agents are implicated and in many patients no cause is found. HIV acute seroconversion illness can rarely present as acute encephalitis. Although most experts agree in starting antiretroviral treatment in severe acute H...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:BMJ case reports 2012-07, Vol.2012 (jul02 1), p.bcr0320125970-bcr0320125970
Hauptverfasser: Nzwalo, Hipólito, Añón, Rosário Pazos, Águas, Maria João
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page bcr0320125970
container_issue jul02 1
container_start_page bcr0320125970
container_title BMJ case reports
container_volume 2012
creator Nzwalo, Hipólito
Añón, Rosário Pazos
Águas, Maria João
description Acute encephalitis is a life-threatening condition. A wide variety of infectious agents are implicated and in many patients no cause is found. HIV acute seroconversion illness can rarely present as acute encephalitis. Although most experts agree in starting antiretroviral treatment in severe acute HIV infection, the evidence of the benefits are still lacking. The authors report a case of severe acute encephalitis as a primary presentation of HIV infection in which introduction of highly active antiretroviral treatment resulted in clinical recovery. This case highlights the need to consider HIV infection in the differential diagnosis of treatable viral encephalitis.
doi_str_mv 10.1136/bcr.03.2012.5970
format Article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3391397</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1024096062</sourcerecordid><originalsourceid>FETCH-LOGICAL-b4450-b2fe64d3925a62e74eb87f7486a5ce209c708a4548bba8bbc305cf069c3c00863</originalsourceid><addsrcrecordid>eNqFkd9LwzAQx4Mobsy9-yQFXwRpvfxo0r4IY6gbDHxR8S2kWeoyunYmreB_b8rmUF8MhNxxn_tyly9C5xgSjCm_KbRLgCYEMEnSXMARGmKRiljk8Hr8Ix6gsfdrCIdiljF6igaECI4JhiGaTnTXmsjU2mxXqrKt9ZHyka1DpKpo64w3data29RRU4bcbpT7jGbzl8CURveFM3RSqsqb8f4doef7u6fpLF48Psynk0VcMJZCXJDScLakOUkVJ0YwU2SiFCzjKtWGQK4FZIqlLCsKFa6mkOoSeK6pBsg4HaHbne62KzZmqcNgTlVyP5NslJW_K7VdybfmQ1KaY5qLIHC1F3DNe2d8KzfWa1NVqjZN5yUGwiDnwElAL_-g66ZzdVhPYpFRImj4v0DBjtKu8d6Z8jAMBtmbJINJEqjsTZK9SaHl4ucSh4ZvSwJwvQOKzfp_uS9Ri5p_</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1783273121</pqid></control><display><type>article</type><title>Acute encephalitis as initial presentation of primary HIV infection</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Nzwalo, Hipólito ; Añón, Rosário Pazos ; Águas, Maria João</creator><creatorcontrib>Nzwalo, Hipólito ; Añón, Rosário Pazos ; Águas, Maria João</creatorcontrib><description>Acute encephalitis is a life-threatening condition. A wide variety of infectious agents are implicated and in many patients no cause is found. HIV acute seroconversion illness can rarely present as acute encephalitis. Although most experts agree in starting antiretroviral treatment in severe acute HIV infection, the evidence of the benefits are still lacking. The authors report a case of severe acute encephalitis as a primary presentation of HIV infection in which introduction of highly active antiretroviral treatment resulted in clinical recovery. This case highlights the need to consider HIV infection in the differential diagnosis of treatable viral encephalitis.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr.03.2012.5970</identifier><identifier>PMID: 22761210</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Acute Disease ; AIDS-Related Opportunistic Infections - drug therapy ; AIDS-Related Opportunistic Infections - etiology ; AIDS-Related Opportunistic Infections - virology ; Anti-HIV Agents - therapeutic use ; Antiretroviral Therapy, Highly Active ; Blood tests ; Candidiasis, Oral - etiology ; Cerebrospinal fluid ; Cognitive ability ; Cytomegalovirus ; Encephalitis ; Encephalitis - drug therapy ; Encephalitis - virology ; Epstein-Barr virus ; Europe (West) ; Female ; Hematology ; Hepatitis B ; Hepatitis C ; Herpes viruses ; HIV ; HIV Seropositivity - complications ; HIV Seropositivity - diagnosis ; HIV Seropositivity - drug therapy ; Human immunodeficiency virus ; Humans ; Infections ; Lymphocytes ; Middle Aged ; Nervous system ; Thrombocytopenia ; Unusual Presentation of More Common Disease/Injury ; White</subject><ispartof>BMJ case reports, 2012-07, Vol.2012 (jul02 1), p.bcr0320125970-bcr0320125970</ispartof><rights>2012 BMJ Publishing Group Ltd</rights><rights>Copyright: 2012 2012 BMJ Publishing Group Ltd</rights><rights>2012 BMJ Publishing Group Ltd 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b4450-b2fe64d3925a62e74eb87f7486a5ce209c708a4548bba8bbc305cf069c3c00863</citedby><cites>FETCH-LOGICAL-b4450-b2fe64d3925a62e74eb87f7486a5ce209c708a4548bba8bbc305cf069c3c00863</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3391397/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3391397/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22761210$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nzwalo, Hipólito</creatorcontrib><creatorcontrib>Añón, Rosário Pazos</creatorcontrib><creatorcontrib>Águas, Maria João</creatorcontrib><title>Acute encephalitis as initial presentation of primary HIV infection</title><title>BMJ case reports</title><addtitle>BMJ Case Rep</addtitle><description>Acute encephalitis is a life-threatening condition. A wide variety of infectious agents are implicated and in many patients no cause is found. HIV acute seroconversion illness can rarely present as acute encephalitis. Although most experts agree in starting antiretroviral treatment in severe acute HIV infection, the evidence of the benefits are still lacking. The authors report a case of severe acute encephalitis as a primary presentation of HIV infection in which introduction of highly active antiretroviral treatment resulted in clinical recovery. This case highlights the need to consider HIV infection in the differential diagnosis of treatable viral encephalitis.</description><subject>Acute Disease</subject><subject>AIDS-Related Opportunistic Infections - drug therapy</subject><subject>AIDS-Related Opportunistic Infections - etiology</subject><subject>AIDS-Related Opportunistic Infections - virology</subject><subject>Anti-HIV Agents - therapeutic use</subject><subject>Antiretroviral Therapy, Highly Active</subject><subject>Blood tests</subject><subject>Candidiasis, Oral - etiology</subject><subject>Cerebrospinal fluid</subject><subject>Cognitive ability</subject><subject>Cytomegalovirus</subject><subject>Encephalitis</subject><subject>Encephalitis - drug therapy</subject><subject>Encephalitis - virology</subject><subject>Epstein-Barr virus</subject><subject>Europe (West)</subject><subject>Female</subject><subject>Hematology</subject><subject>Hepatitis B</subject><subject>Hepatitis C</subject><subject>Herpes viruses</subject><subject>HIV</subject><subject>HIV Seropositivity - complications</subject><subject>HIV Seropositivity - diagnosis</subject><subject>HIV Seropositivity - drug therapy</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infections</subject><subject>Lymphocytes</subject><subject>Middle Aged</subject><subject>Nervous system</subject><subject>Thrombocytopenia</subject><subject>Unusual Presentation of More Common Disease/Injury</subject><subject>White</subject><issn>1757-790X</issn><issn>1757-790X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkd9LwzAQx4Mobsy9-yQFXwRpvfxo0r4IY6gbDHxR8S2kWeoyunYmreB_b8rmUF8MhNxxn_tyly9C5xgSjCm_KbRLgCYEMEnSXMARGmKRiljk8Hr8Ix6gsfdrCIdiljF6igaECI4JhiGaTnTXmsjU2mxXqrKt9ZHyka1DpKpo64w3data29RRU4bcbpT7jGbzl8CURveFM3RSqsqb8f4doef7u6fpLF48Psynk0VcMJZCXJDScLakOUkVJ0YwU2SiFCzjKtWGQK4FZIqlLCsKFa6mkOoSeK6pBsg4HaHbne62KzZmqcNgTlVyP5NslJW_K7VdybfmQ1KaY5qLIHC1F3DNe2d8KzfWa1NVqjZN5yUGwiDnwElAL_-g66ZzdVhPYpFRImj4v0DBjtKu8d6Z8jAMBtmbJINJEqjsTZK9SaHl4ucSh4ZvSwJwvQOKzfp_uS9Ri5p_</recordid><startdate>20120703</startdate><enddate>20120703</enddate><creator>Nzwalo, Hipólito</creator><creator>Añón, Rosário Pazos</creator><creator>Águas, Maria João</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20120703</creationdate><title>Acute encephalitis as initial presentation of primary HIV infection</title><author>Nzwalo, Hipólito ; Añón, Rosário Pazos ; Águas, Maria João</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b4450-b2fe64d3925a62e74eb87f7486a5ce209c708a4548bba8bbc305cf069c3c00863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Acute Disease</topic><topic>AIDS-Related Opportunistic Infections - drug therapy</topic><topic>AIDS-Related Opportunistic Infections - etiology</topic><topic>AIDS-Related Opportunistic Infections - virology</topic><topic>Anti-HIV Agents - therapeutic use</topic><topic>Antiretroviral Therapy, Highly Active</topic><topic>Blood tests</topic><topic>Candidiasis, Oral - etiology</topic><topic>Cerebrospinal fluid</topic><topic>Cognitive ability</topic><topic>Cytomegalovirus</topic><topic>Encephalitis</topic><topic>Encephalitis - drug therapy</topic><topic>Encephalitis - virology</topic><topic>Epstein-Barr virus</topic><topic>Europe (West)</topic><topic>Female</topic><topic>Hematology</topic><topic>Hepatitis B</topic><topic>Hepatitis C</topic><topic>Herpes viruses</topic><topic>HIV</topic><topic>HIV Seropositivity - complications</topic><topic>HIV Seropositivity - diagnosis</topic><topic>HIV Seropositivity - drug therapy</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Infections</topic><topic>Lymphocytes</topic><topic>Middle Aged</topic><topic>Nervous system</topic><topic>Thrombocytopenia</topic><topic>Unusual Presentation of More Common Disease/Injury</topic><topic>White</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nzwalo, Hipólito</creatorcontrib><creatorcontrib>Añón, Rosário Pazos</creatorcontrib><creatorcontrib>Águas, Maria João</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BMJ case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nzwalo, Hipólito</au><au>Añón, Rosário Pazos</au><au>Águas, Maria João</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acute encephalitis as initial presentation of primary HIV infection</atitle><jtitle>BMJ case reports</jtitle><addtitle>BMJ Case Rep</addtitle><date>2012-07-03</date><risdate>2012</risdate><volume>2012</volume><issue>jul02 1</issue><spage>bcr0320125970</spage><epage>bcr0320125970</epage><pages>bcr0320125970-bcr0320125970</pages><issn>1757-790X</issn><eissn>1757-790X</eissn><abstract>Acute encephalitis is a life-threatening condition. A wide variety of infectious agents are implicated and in many patients no cause is found. HIV acute seroconversion illness can rarely present as acute encephalitis. Although most experts agree in starting antiretroviral treatment in severe acute HIV infection, the evidence of the benefits are still lacking. The authors report a case of severe acute encephalitis as a primary presentation of HIV infection in which introduction of highly active antiretroviral treatment resulted in clinical recovery. This case highlights the need to consider HIV infection in the differential diagnosis of treatable viral encephalitis.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>22761210</pmid><doi>10.1136/bcr.03.2012.5970</doi><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1757-790X
ispartof BMJ case reports, 2012-07, Vol.2012 (jul02 1), p.bcr0320125970-bcr0320125970
issn 1757-790X
1757-790X
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3391397
source MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Acute Disease
AIDS-Related Opportunistic Infections - drug therapy
AIDS-Related Opportunistic Infections - etiology
AIDS-Related Opportunistic Infections - virology
Anti-HIV Agents - therapeutic use
Antiretroviral Therapy, Highly Active
Blood tests
Candidiasis, Oral - etiology
Cerebrospinal fluid
Cognitive ability
Cytomegalovirus
Encephalitis
Encephalitis - drug therapy
Encephalitis - virology
Epstein-Barr virus
Europe (West)
Female
Hematology
Hepatitis B
Hepatitis C
Herpes viruses
HIV
HIV Seropositivity - complications
HIV Seropositivity - diagnosis
HIV Seropositivity - drug therapy
Human immunodeficiency virus
Humans
Infections
Lymphocytes
Middle Aged
Nervous system
Thrombocytopenia
Unusual Presentation of More Common Disease/Injury
White
title Acute encephalitis as initial presentation of primary HIV infection
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-29T11%3A00%3A50IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Acute%20encephalitis%20as%20initial%20presentation%20of%20primary%20HIV%20infection&rft.jtitle=BMJ%20case%20reports&rft.au=Nzwalo,%20Hip%C3%B3lito&rft.date=2012-07-03&rft.volume=2012&rft.issue=jul02%201&rft.spage=bcr0320125970&rft.epage=bcr0320125970&rft.pages=bcr0320125970-bcr0320125970&rft.issn=1757-790X&rft.eissn=1757-790X&rft_id=info:doi/10.1136/bcr.03.2012.5970&rft_dat=%3Cproquest_pubme%3E1024096062%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1783273121&rft_id=info:pmid/22761210&rfr_iscdi=true