Clinical Analysis of Misdiagnosis of Acquired Immune Deficiency Syndrome Complicated with Cerebral Toxo-plasmosis in 3 Cases
FANG Yan
WANG Tao
ZHOU Chao-xin
Abstract：Objective To investigate the clinical features,causes of misdiagnosis and preventive measures of acquired immunodeficiency syndrome(AIDS) complicated with cerebral toxoplasmosis. Methods Retrospective anal-ysis was performed on the clinical data of 3 cases of AIDS complicated with cerebral toxoplasmosis which had been mis-diagnosed. Results Three patients presented to our department due to fatigue in the right lower limb for 2 weeks,in-termittent fever,blurred vision and visual decline for more than 1 year,and fever,headache,dizziness,disturbance of consciousness and inactivity of left limb for 3 days,respectively. They were misdiagnosed as having intracranial multi-ple metastatic tumor,toxoplasmosis retinal uveitis,metastatic brain tumor of right temporal lobe, respectively, which were treated accordingly,producing unsatisfactory effects. Subsequently,based on related laboratory tests,CT and MRI examination,they were diagnosed with AIDS complicated with cerebral toxoplasmosis,and given antiviral therapy. One patient died of pulmonary infection due to exacerbation 6 months after treatment. After 2 weeks of treatment,the condi-tion of the other two patients was improved to varying degrees. Conclusion Given similar clinical manifestations of AIDS complicated with cerebral toxoplasmosis to those of many diseases,the condition is easily misdiagnosed. Height-ened perception of the disease, detailed medical history, careful physical examination and differential diagnosis, and timely medical tests can help to reduce or avoid misdiagnosis of AIDS complicated with cerebral toxoplasmosis.
Keywords：Acquired immunodeficiency syndromeToxoplasmosisbrainMisdiagnosisBrain neoplasms
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 4-7 )