Wednesday, June 23, 2010

Headache

Symptoms of CNS infections is often only headache; it should be evaluated since many oppurtunistic infections possible
Toxoplasma is the most common finding with patients presenting with headache, confusion and seizures
CT shows classic single or multiple ring enhancing lesions
Treatment is with pyrimethamine and sulfadiazine; life long maintenance medication is required
Other CNS lesions include, CNS lymphoma, Progressive multifocal leukoencephalopathy, Herpes simplex encephalitis, CMV encephalitis, Mycobacterial or fungal brain abscesses, cryptococcal meningitis

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