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Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282X

Arq. Neuro-Psiquiatr. vol.54 no.1 São Paulo Mar. 1996

http://dx.doi.org/10.1590/S0004-282X1996000100017 

Trypanosoma cruzi meningoencephalitis in AIDS mimicking cerebral metastases: case report

 

Meningoencefalite chagásica em AIDS simulando metástases cerebrais: relato de caso

 

 

Pedro Camilo A. PimentelI; Benjamin W. HandfasII; Márcia CarmignaniII

IDepartment of Neurology, Escola Paulista de Medicina, São Paulo, Brazil
IIDivision of Neuroimaging, Hospital Albert Einstein, São Paulo, Brazil

 

 


ABSTRACT

A case of Chagas' meningoencephalitis in a 47 year-old patient with AIDS is presented. The diagnosis was established by examination of the cerebrospinal fluid which showed the presence of Trypanosoma cruzi. CT-scan revealed multiple cerebral lesions which only became evident by contrast administration. A second CT after 13 days showed a severe evolution with displacement of the midline structures leading to the patient's death. This case, as well as other case reports published, has shown the fulminant evolution of Chagas' meningoencephalitis in AIDS patients and the importance of cerebrospinal fluid examination for the diagnosis.

Key words:cerebral metastases, encephalitis, Chagas' disease, Trypanosoma cruzi, AIDS.


RESUMO

Apresentamos um caso de meningoencefalite chagásica em paciente de 47 anos com AIDS. O diagnóstico foi feito pelo encontro do Trypanosoma cruzi no LCR. A tomografia de crânio mostrou múltiplas lesões cerebrais que se tornaram evidentes apenas na fase com contraste. Uma segunda tomografia após 13 dias mostrou evolução tipo tumoral com intenso efeito de massa e acentuado desvio de estruturas da linha média, levando o paciente ao óbito. Este caso e outros da literatura mostram a evolução fulminante da meningoencefalite chagásica em pacientes com AIDS e a importância do exame de LCR para o diagnóstico.

Palavras-chave: metastases cerebrais, encefalite, doença de Chagas, Trypanosoma cruzi, AIDS.


 

 

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Full text available only in PDF format.

 

 

Acknowledgment - The authors thank Mrs. Heloisa H. Oliveira Pimentel for her assisstance in editing this paper.

 

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Aceite: 23-novembro-1995.

 

 

Dr. Pedro Camilo Pimentel - Rua Itacolomi 601 - 01239-020 São Paulo SP - Brasil.