Behçet's syndrome / AIDS / cerebral toxoplasmosis: an unusual association
Autor(a) principal: | |
---|---|
Data de Publicação: | 1994 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | São Paulo medical journal (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801994000300003 |
Resumo: | Few cases of AIDS associated to manifestations suggesting Behçet's syndrome have been reported. This case is of a young married woman who presented, during a period of 7 years, clinical manifestations consistent with the late diagnosis of Behçet's syndrome, when she developed recurrent lymphomonocytic meningoencephalitis. At this time, she was found to be infected by HIV-1. Immunosupressive doses of glucocorticoid produced an unsatisfactory response and she evolved to death due to CNS toxoplasmosis. The latter diagnosis was presumed on the basis of magnetic resonance imaging findings and proved by necropsy after her third hospital stay. One of the factors hindering the appropriate diagnosis was the low level of CD4 and the CD4/CD8 ratio, sometimes observed in active Behçet's syndrome and higher than those observed in patients with this severe opportunistic infection. No information about the exact period of time she had been infected with HIV-1 is available. So, we do not know whether both diseases were overlor, if the patient, infected by HIV-1, developed an unusual clinical feature consistent with Behçet's Behçet's syndrome, and subsequently evolved to AIDS. |
id |
APM-1_5ea418e4d70aecab960f7381511fc5e1 |
---|---|
oai_identifier_str |
oai:scielo:S1516-31801994000300003 |
network_acronym_str |
APM-1 |
network_name_str |
São Paulo medical journal (Online) |
repository_id_str |
|
spelling |
Behçet's syndrome / AIDS / cerebral toxoplasmosis: an unusual associationAids Behçet's Syndrome Cerebral toxoplasmosisFew cases of AIDS associated to manifestations suggesting Behçet's syndrome have been reported. This case is of a young married woman who presented, during a period of 7 years, clinical manifestations consistent with the late diagnosis of Behçet's syndrome, when she developed recurrent lymphomonocytic meningoencephalitis. At this time, she was found to be infected by HIV-1. Immunosupressive doses of glucocorticoid produced an unsatisfactory response and she evolved to death due to CNS toxoplasmosis. The latter diagnosis was presumed on the basis of magnetic resonance imaging findings and proved by necropsy after her third hospital stay. One of the factors hindering the appropriate diagnosis was the low level of CD4 and the CD4/CD8 ratio, sometimes observed in active Behçet's syndrome and higher than those observed in patients with this severe opportunistic infection. No information about the exact period of time she had been infected with HIV-1 is available. So, we do not know whether both diseases were overlor, if the patient, infected by HIV-1, developed an unusual clinical feature consistent with Behçet's Behçet's syndrome, and subsequently evolved to AIDS.Associação Paulista de Medicina - APM1994-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801994000300003Sao Paulo Medical Journal v.112 n.3 1994reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APM10.1590/S1516-31801994000300003info:eu-repo/semantics/openAccessChahade,Wiliam HabibSoares,Virgina de FariaGuimarães,ThaisBerbert,Suzi Osana TeixeiraSzwarc,Isac SzarfLevi,Guido Carloseng2009-07-03T00:00:00Zoai:scielo:S1516-31801994000300003Revistahttp://www.scielo.br/spmjhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2009-07-03T00:00São Paulo medical journal (Online) - Associação Paulista de Medicinafalse |
dc.title.none.fl_str_mv |
Behçet's syndrome / AIDS / cerebral toxoplasmosis: an unusual association |
title |
Behçet's syndrome / AIDS / cerebral toxoplasmosis: an unusual association |
spellingShingle |
Behçet's syndrome / AIDS / cerebral toxoplasmosis: an unusual association Chahade,Wiliam Habib Aids Behçet's Syndrome Cerebral toxoplasmosis |
title_short |
Behçet's syndrome / AIDS / cerebral toxoplasmosis: an unusual association |
title_full |
Behçet's syndrome / AIDS / cerebral toxoplasmosis: an unusual association |
title_fullStr |
Behçet's syndrome / AIDS / cerebral toxoplasmosis: an unusual association |
title_full_unstemmed |
Behçet's syndrome / AIDS / cerebral toxoplasmosis: an unusual association |
title_sort |
Behçet's syndrome / AIDS / cerebral toxoplasmosis: an unusual association |
author |
Chahade,Wiliam Habib |
author_facet |
Chahade,Wiliam Habib Soares,Virgina de Faria Guimarães,Thais Berbert,Suzi Osana Teixeira Szwarc,Isac Szarf Levi,Guido Carlos |
author_role |
author |
author2 |
Soares,Virgina de Faria Guimarães,Thais Berbert,Suzi Osana Teixeira Szwarc,Isac Szarf Levi,Guido Carlos |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Chahade,Wiliam Habib Soares,Virgina de Faria Guimarães,Thais Berbert,Suzi Osana Teixeira Szwarc,Isac Szarf Levi,Guido Carlos |
dc.subject.por.fl_str_mv |
Aids Behçet's Syndrome Cerebral toxoplasmosis |
topic |
Aids Behçet's Syndrome Cerebral toxoplasmosis |
description |
Few cases of AIDS associated to manifestations suggesting Behçet's syndrome have been reported. This case is of a young married woman who presented, during a period of 7 years, clinical manifestations consistent with the late diagnosis of Behçet's syndrome, when she developed recurrent lymphomonocytic meningoencephalitis. At this time, she was found to be infected by HIV-1. Immunosupressive doses of glucocorticoid produced an unsatisfactory response and she evolved to death due to CNS toxoplasmosis. The latter diagnosis was presumed on the basis of magnetic resonance imaging findings and proved by necropsy after her third hospital stay. One of the factors hindering the appropriate diagnosis was the low level of CD4 and the CD4/CD8 ratio, sometimes observed in active Behçet's syndrome and higher than those observed in patients with this severe opportunistic infection. No information about the exact period of time she had been infected with HIV-1 is available. So, we do not know whether both diseases were overlor, if the patient, infected by HIV-1, developed an unusual clinical feature consistent with Behçet's Behçet's syndrome, and subsequently evolved to AIDS. |
publishDate |
1994 |
dc.date.none.fl_str_mv |
1994-09-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801994000300003 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801994000300003 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S1516-31801994000300003 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
dc.source.none.fl_str_mv |
Sao Paulo Medical Journal v.112 n.3 1994 reponame:São Paulo medical journal (Online) instname:Associação Paulista de Medicina instacron:APM |
instname_str |
Associação Paulista de Medicina |
instacron_str |
APM |
institution |
APM |
reponame_str |
São Paulo medical journal (Online) |
collection |
São Paulo medical journal (Online) |
repository.name.fl_str_mv |
São Paulo medical journal (Online) - Associação Paulista de Medicina |
repository.mail.fl_str_mv |
revistas@apm.org.br |
_version_ |
1754209259159027712 |