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[Acute necrotizing myelitis in an AIDS patient].

Authors
  • Corti, Marcelo
  • Soto, Isabel
  • Villafañe, María F
  • Bouzas, Belén
  • Duarte, Juan Manuel
  • Yampolsky, Claudio
  • Schtirbu, Ricardo
Type
Published Article
Journal
Medicina
Publication Date
Jan 01, 2003
Volume
63
Issue
2
Pages
143–146
Identifiers
PMID: 12793084
Source
Medline
License
Unknown

Abstract

In the setting of HIV infection, cytomegalovirus (CMV) and herpes simplex virus type 1-2 (HSV 1-2) can affect both the central and peripheral nervous systems. These agents can involve the spinal cord and produce a necrotizing transverse myelitis. This usually occurs in AIDS patients with severe immunodeficiency: CD4+ lymphocyte counts typically are less than 50 cell/microL. The clinical presentation, CSF and imaging studies can provide a high level of suspicion diagnosis. Prompt initiation of antiviral specific drugs is essential. We report a patient with an acute necrotizing myelitis (cauda equina syndrome) secondary to CMV and HSV infections.

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