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37 yr old woman who is HIV positive comes with a 4 week h/o of worsening hemiparesis, visual field defects and cognitive impairment. she has gone 2 years without ant retroviral therapy. the patients cd4 counts are ,22/microl. MRi shows several hypodensities that donot enhance with contrast and are not surrounded my edema. A LP shows normal opening pressure, elevated protein levels and presence of myelin basic protein with mild mononuclearpleocytosis. what does the patient have

a. toxoplasmosis
b. hiv encephalitis
c. cmv encephalitis
d. primary cns lymphoma
e. jc virus

A. cerebral toxoplasmosis

JC virus Progressive multifocal leucoencephalopathy.
Thx for posting the q.

?? what made u change ur answer bep111

anyways wil post answer late when some more pl reply. tc

Points in favourMLE

1.Cognative impairment;
2.Hypodense lesion without enhancement;
3.No edema;
4.LP opening pr normal;
5.MS like demylinating Ix report.

Hope it will give me pass mark???haha
saw the book by the way.

what book?

full marks bep111 another q for u .. how will u diff it from primary cns lymphoma?

what book??

Dear cd45,

You can see Davidson's Principles & Practice Of Medicine.
19th or 20th edition.
I have 19th.

Pls post mor qs.

thx
bep111

THANK U BEP11 i will do that

anyways primapry cns lumphoma will be more insidious s/s not a 4 week history.

what page?
i have 19th
thanks