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Revista Médica Científica CAMbios

Periodicidad semestral: flujo continuo.

ISSN - Electrónico: 2661-6947 / DOI: 10.36015 • LILACS BIREME (19784); LATINDEX (20666)

Vol. 15 No. 2 (2016), Trabajos de Investigaciónes
Vol. 15 No. 2 (2016)

Imaging findings in patients with neurotoxoplasmosis and HIV/AIDS in Carlos Andrade Marin Hospital during the January 2010 to July 2012 period

Trabajos de Investigaciónes
Published 2016-07-31
Isabel Ortiz Estupiñan
Médico Egresado del Postgrado de Radiología. Hospital Carlos Andrade Marín, Universidad San Francisco de Quito
Pedro Cornejo Castro
Intervencionista, Médico Tratante del Servicio de Imagenología, Médico Radiólogo. Hospital Carlos Andrade Marín
Diego Valarezo Sevilla
Médico Internista, Médico Tratante del Servicio de Medicina Interna. Hospital General del Iess de Ibarra
Armín Pazmiño Martínez
Médico Internista, Médico Tratante del Servicio de Medicina Interna. Clínica de Emergencias San Francisco de Sangolquí
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Keywords

Cerebral Toxoplasmosis
T Lymphocytes
VHI
Retrovirus
Immune
Infection

How to Cite

1.
Imaging findings in patients with neurotoxoplasmosis and HIV/AIDS in Carlos Andrade Marin Hospital during the January 2010 to July 2012 period. Cambios rev. méd. [Internet]. 2016 Jul. 31 [cited 2025 Dec. 7];15(2):38-41. Available from: https://revistahcam.iess.gob.ec/index.php/cambios/article/view/248
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Abstract

Abstract Introduction: Acquired immunodeficiency syndrome impairs the immune system, particularly T lymphocytes. Cerebral toxoplasmosis is the leading cause of opportunistic infection of the central nervous system (CNS) in HIV/AIDS patients, when they have CD4+ counts fewer than 100 cells/mm3. Facing a patient with clinical suspicion of neurotoxoplasmosis, a CT scan or MRI should be asked. The aim of this paper was describing image findings of a group of HIV patients with neurotoxoplasmosis Methods: Case serie involving 27 patients whose medical records were analyzed. It includes the results of clinical exams, CD4 counts and MRI files with both diagnosis HIV/AIDS and toxoplasmosis, from January 2010 to July 2012, at Carlos Andrade Marin Hospital. Results: The study sample included more men than women (8:1). Most patients had a CD4 count fewer than 100 cells/mm3. Grade 2 lesions were frequent in the MRI, corresponding to h space-occupying lesions with enhancement and perilesional edema; showing hypointensity on T1 and hyperintensity on T2. Most of the patients were stratified as C3 class from CDC classification. Discusion: HIV/AIDS patients with a significant lower CD4 count should have a CT scan or MRI asked, in order to identify neurotoxoplasmosis.

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