A 35 year old man with AIDS presents with headache, confusion, and a new onset seizure. CD4 count is 54 cells per microliter. MRI of the brain shows multiple ring enhancing lesions in the basal ganglia and corticomedullary junction. He owns several cats and does not take prophylactic medications. Which of the following organisms is the most likely cause of this illness?
- A)Taenia solium
- B)Cryptococcus neoformans
- C)JC virus
- D)Nocardia asteroides
- E)Toxoplasma gondiiGABARITO
Explicação
Toxoplasma gondii is correct. Reactivation toxoplasmosis in advanced HIV causes multiple ring enhancing brain lesions, often in the basal ganglia, with headache, confusion, and seizures. Cat exposure and lack of trimethoprim sulfamethoxazole prophylaxis are ad... Ver explicação completa e trilha adaptativa →