Acute Disseminated Encephalomyelitis: An Unusual Presentation of Human Immunodeficiency Virus Infection
المؤلفون المشاركون
Martínez-Ayala, Pedro
Valle-Murillo, Miguel Angel
Chávez-Barba, Oscar
Cabrera-Silva, Rodolfo I.
González-Hernández, Luz A.
Amador-Lara, Fernando
Ramos-Solano, Moises
Zúñiga-Quiñones, Sergio
Ruíz-Herrera, Vida Verónica
Andrade-Villanueva, Jaime F.
المصدر
Case Reports in Infectious Diseases
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-06-06
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Background.
Acute disseminated encephalomyelitis (ADEM) is a rare inflammatory and demyelinating disorder of the central nervous system, with a distinct tendency to a perivenous localization of pathological changes.
Children are the most affected population and frequently presented after exanthematous viral infections or vaccination.
Due to the rarity of this disease, the annual incidence rate in the population is not precisely known.
Case Presentation.
Here, we present a 28-year-old male HIV-1 positive patient with an acute confusional state, a diminished alert status characterized by somnolence, hypoprosexia, and complex visual hallucinations.
Neuroimages reported white matter demyelinating lesions, mainly affecting the semioval centers, the frontal lobe, and the left parietal lobe; hypointense on T1-weighted images, hyperintense on T2-weighted images and fluid-attenuated inversion recovery weighted images, DWI with restricted diffusion, and a parietal ring-enhancing lesion after IV gadolinium administration.
Discussion.
In HIV positive patients, the demyelinating disorders have a broader clinical spectrum that could be explained by the immunosuppressed state of the patients, the evolution of the disease, the use of medications, the opportunistic infections, and the environment.
Due to this highly variable clinical spectrum, ADEM is a significant challenge for the physicians in HIV positive patients, causing a delay in the diagnosis and treatment.
Conclusion.
We suggest that ADEM should be considered among the differential diagnosis in HIV-infected patients with focal or multifocal neurological symptoms, particularly in encephalopathies with multifocal central nervous system involvement without severe immunosuppression.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Martínez-Ayala, Pedro& Valle-Murillo, Miguel Angel& Chávez-Barba, Oscar& Cabrera-Silva, Rodolfo I.& González-Hernández, Luz A.& Amador-Lara, Fernando…[et al.]. 2020. Acute Disseminated Encephalomyelitis: An Unusual Presentation of Human Immunodeficiency Virus Infection. Case Reports in Infectious Diseases،Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1148075
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Martínez-Ayala, Pedro…[et al.]. Acute Disseminated Encephalomyelitis: An Unusual Presentation of Human Immunodeficiency Virus Infection. Case Reports in Infectious Diseases No. 2020 (2020), pp.1-5.
https://search.emarefa.net/detail/BIM-1148075
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Martínez-Ayala, Pedro& Valle-Murillo, Miguel Angel& Chávez-Barba, Oscar& Cabrera-Silva, Rodolfo I.& González-Hernández, Luz A.& Amador-Lara, Fernando…[et al.]. Acute Disseminated Encephalomyelitis: An Unusual Presentation of Human Immunodeficiency Virus Infection. Case Reports in Infectious Diseases. 2020. Vol. 2020, no. 2020, pp.1-5.
https://search.emarefa.net/detail/BIM-1148075
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1148075
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر