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Tuberculous Brain Abscess and Toxoplasma Encephalitis in a Patient With the Acquired Immunodeficiency Syndrome
Margaret A. Fischl, MD;
Arthur E. Pitchenik, MD;
Thomas J. Spira, MD
JAMA. 1985;253(23):3428-3430.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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INFECTIOUS diseases of the central nervous system among immunocompromised patients are not uncommon but rarely involve more than one pathogen.1Mycobacterium tuberculosis is an infrequent cause of central nervous system infection among immunocompromised patients.2,3 When seen, meningitis is by far the most common presentation. Occurrence of a tuberculous brain abscess is rare.4-8
Toxoplasma encephalitis has been recognized as one of the more common central nervous system infections among patients with the acquired immunodeficiency syndrome (AIDS). Concomitant infections, although uncommon, may be an emerging problem. The present report summarizes our experience with a patient who had a tuberculous brain abscess and concomitant Toxoplasma encephalitis.
Report of a Case
A 22-year-old Haitian woman was admitted to the hospital with a nine-month history of fever, watery diarrhea, anorexia, and a 9.1-kg weight loss. A three-month history of tingling and progressive weakness of the left upper and lower extremities, with inability
. . . [Full Text PDF of this Article]
Author Affiliations
From the Department of Medicine, University of Miami School of Medicine (Drs Fischl and Pitchenik); and the Center for Infectious Diseases, Centers for Disease Control, Atlanta (Dr Spira).
Footnotes
Reprint requests to the Department of Medicine, R-60, University of Miami School of Medicine, PO Box 016960, Miami, FL 33101 (Dr Fischl).
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