A case report of a successful alternative regiment therapy for toxoplasma encephalitis in AIDS patients

نویسندگان

چکیده

IntroductionAIDS patients are more susceptible to opportunistic diseases, such as toxoplasma encephalitis, because of weakened immune systems. Toxoplasma encephalitis manifests a severe neurological crisis in HIV patients. The standard initial treatments sulfadiazine and pyrimethamine. This case presents an patient treated with alternative regimen for encephalitis.Case descriptionA young Acehnese man, 32 years old, arrived at the emergency unit after complaining general seizure 2 hours before arrival. He has history two-week fever white patches on his tongue oral cavity. result test was positive, thorough examination, he diagnosed encephalitis. given cotrimoxazole 960 mg twice daily clindamycin 600 four times treatment. Clinical improvement reported six weeks therapy.ConclusionA reported. first-line treatment is pyrimethamine sulfadiazine; however, used assess success therapy. Cotrimoxazole can be utilized regiment therapy if option unavailable.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Toxoplasma encephalitis and AIDS in a patient with seizure and altered mental status: A case report.

1 Emergency Department, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah 67146, Iran 2 Radiology Department, Shariati Hospital, Tehran University of Medical Sciences, Tehran 14117-13137, Iran 3 Emergency Department, Shariati Hospital, Tehran University of Medical Sciences, Tehran 14117-13137, Iran 4 Forensic Medicine Department, Loghman Hospital, Shahid Beheshti Univers...

متن کامل

Toxoplasma encephalitis in an HIV-positive patient – a case report

Case report We present a case of Toxoplasma encephalitis in a 23 year-old patient with HIV infection, with fatal outcome. For diagnosis we used neuroimaging methods (CT and MRI) that demonstrated multiple masses surrounded by edema and central-necrotic arias) and serum Toxoplasma IgG and IgM – high levels. Under co-trimoxazol treatment there was an improvement of the lesions on neuroimaging, in...

متن کامل

Pyrimethamine-clarithromycin combination for therapy of acute Toxoplasma encephalitis in patients with AIDS.

Clarithromycin, a new macrolide, is effective in treating experimental Toxoplasma gondii infection. A pyrimethamine-clarithromycin combination was evaluated for the treatment of acute Toxoplasma encephalitis in 13 AIDS patients. The scheduled regimen was 2 g of clarithromycin per day and 75 mg of pyrimethamine per day for 6 weeks. The protocol was completed in eight patients and stopped in five...

متن کامل

Successful Repair of Type a Aortic Dissection in a Term Pregnancy: A Case Report

Stanford type A acute aortic dissection (AAD) is a very rare complication, with potentially lethal consequences in pregnancy. In fact, pregnancy has been regularly associated with the possibility of aortic. dissection in almost half of young women. Herein, we present the case of a 38-year-old woman in her 37th week of pregnancy. The patient’s medical history was indicative of G4L2Ab1(4 gestaiti...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ژورنال

عنوان ژورنال: Heliyon

سال: 2023

ISSN: ['2405-8440']

DOI: https://doi.org/10.1016/j.heliyon.2023.e18293