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Type: Artigo de periódico
Title: Cerebral tuberculomas in aids patients - A forgotten diagnosis?
Author: Vidal, JE
Hernandez, AV
de Oliveira, ACP
de Souza, A
Madalosso, G
da Silva, PRM
Dauar, R
Abstract: The human immunodeficiency virus (HIV) infection epidemics increased the prevalence, multi-drug resistance and disseminated forms of tuberculosis. The central nervous system (CNS) tuberculosis has high mortality and morbidity, and it is usually divided into diffuse (meningitis) and localized (tuberculoma and abscess) forms. We report three cases of cerebral tuberculomas in AIDS patients: one with definitive diagnosis, confirmed with histopathology, and two with probable diagnosis, based on clinical information, radiological images, Mycobaterium tuberculosis isolation out of the CNS and adequate response to antituberculous treatment. Further, we discuss diagnostic, therapeutic and prognostic issues of tuberculomas, with emphasis in the distinction from cerebral tuberculous abscesses. Despite of their infrequent presentation, tuberculomas should be considered in the differential diagnosis of cerebral expansive lesions in patients with AIDS.
Subject: tuberculoma
central nervous system
acquired immunodeficiency syndrome
Country: Brasil
Editor: Assoc Arquivos De Neuro- Psiquiatria
Rights: aberto
Identifier DOI: 10.1590/S0004-282X2004000500010
Date Issue: 2004
Appears in Collections:Unicamp - Artigos e Outros Documentos

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