CNS infections in HIV patients: Difference between revisions
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* Idiopathic (up to 50%) |
* Idiopathic (up to 50%) |
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| − | * HIV encephalitis |
+ | * [[HIV encephalitis]] |
| − | * Acute HIV |
+ | * [[Acute HIV]] |
* Infectious |
* Infectious |
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** Viral: routine viral causes of [[meningitis]] and [[encephalitits]], [[VZV]] (common), [[JC virus]], [[West Nile virus]], [[EBV]] |
** Viral: routine viral causes of [[meningitis]] and [[encephalitits]], [[VZV]] (common), [[JC virus]], [[West Nile virus]], [[EBV]] |
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Latest revision as of 10:46, 17 February 2022
Differential Diagnosis
- Idiopathic (up to 50%)
- HIV encephalitis
- Acute HIV
- Infectious
- Viral: routine viral causes of meningitis and encephalitits, VZV (common), JC virus, West Nile virus, EBV
- Bacterial: syphilis (common), Streptococcus pneumonia, Mycoplasma
- Fungal: cryptococcosis (most common cause of meningitis), histoplasmosis, blastomycosis, coccidiomycosis
- Mycobacterial: tuberculous meningitis
- Parasitic: toxoplasmosis, neurocysticercosis
- Non-infectious
Investigations
- Lumbar puncture with opening pressure and CSF sent for:
- Cell count and differential, protein, glucose
- Gram stain and bacterial culture
- Cryptococcus antigen lateral flow assay
- Acid-fast staining and tuberculosis culture
- Fungal culture? PCR for JC virus, EBV?
- Cytology and flow cytometry
- MRI brain
