Coxsackie B meningoencephalitis in a patient with acquired immunodeficiency syndrome and a multiple sclerosis-like illness |
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Authors: | Joseph R Berger Dominic B Fee Peter Nelson Gerald Nuovo |
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Institution: | (1) Department of Biochemistry and Molecular Biology, College of Basic Medicine, China Medical University, Shenyang, PR China;(2) Department of Medical Informatics and Information System, China Medical University, Shenyang, PR China;(3) Department of Diagnostic Pathology, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama, Toyama, Japan |
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Abstract: | Both Coxsackie infection and multiple sclerosis (MS) are rare in human immunodeficiency virus (HIV) infection. We report a
35-year-old woman with known HIV infection of 12 years’ duration and a clinical illness of 4 years’ duration consistent with
MS. The latter was characterized by optic neuritis, bilateral abducens palsies, recurrent Bell’s palsy, hemiparesis, and ataxia
coupled with white matter abnormalities on magnetic resonance imaging (MRI). Autopsy revealed Coxsackie B meningoencephalitis;
no other infectious disease were detected and no histopathological features of MS were evident. We suggest that the relapsing-remitting
neurological disease in this patient was the consequence of Coxsackie B meningoencephalitis. This is the first case report,
to the best of our knowledge, of an enteroviral meningoencephalitis complicating human immunodeficiency virus/acquired immunodeficiency
syndrome (HIV/AIDS). |
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Keywords: | |
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