trypanosoma cruzi meningoencephalitis in aids mimicking cerebral metastases: case report meningoencefalite chagásica em aids simulando metástases cerebrais: relato de caso

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ID: 197897
1996
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Abstract
A case of Chagas' meningoencephalitis in a 47 year-old patient with AIDS is presented. The diagnosis was established by examination of the cerebrospinal fluid which showed the presence of Trypanosoma cruzi. CT-scan revealed multiple cerebral lesions which only became evident by contrast administration. A second CT after 13 days showed a severe evolution with displacement of the midline structures leading to the patient's death. This case, as well as other case reports published, has shown the fulminant evolution of Chagas' meningoencephalitis in AIDS patients and the importance of cerebrospinal fluid examination for the diagnosis.
Apresentamos um caso de meningoencefalite chagásica em paciente de 47 anos com AIDS. O diagnóstico foi feito pelo encontro do Trypanosoma cruzi no LCR. A tomografia de crânio mostrou múltiplas lesões cerebrais que se tornaram evidentes apenas na fase com contraste. Uma segunda tomografia após 13 dias mostrou evolução tipo tumoral com intenso efeito de massa e acentuado desvio de estruturas da linha média, levando o paciente ao óbito. Este caso e outros da literatura mostram a evolução fulminante da meningoencefalite chagásica em pacientes com AIDS e a importância do exame de LCR para o diagnóstico.
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pimentel1996arquivostrypanosoma Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Pedro Camilo A. Pimentel;Benjamin W. Handfas;Márcia Carmignani
Journal communications in computer and information science
Year 1996
DOI
10.1590/S0004-282X1996000100017
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1996000100017
Keywords
aids encephalitis trypanosoma cruzi neuropsychiatry biological psychiatry

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