Kamsi
Forum Guru
Topics: 103
Posts: 347
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A 35-year-old HIV-positive man is brought to the clinic by his partner because of a 6-month
history of progressive memory loss and incontinence. He is taking zidovudine and a protease
inhibitor. He first noticed difficulties with handwriting. Neurologic examination demonstrates
deficits in cognitive and fine motor control functions. Laboratory investigations show a CD4 cell
count of 25/mm3. MRI studies reveal moderate brain atrophy but no focal lesions. A lumbar
puncture shows no cerebrospinal fluid abnormalities. Which of the following is the most likely
diagnosis?
A. CMV encephalitis
B. Cryptococcal meningoencephalitis
C. HIV encephalitis
D. HIV myelopathy
E. Primary brain lymphoma
F. Progressive multifocal leukoencephalopathy
G. Toxoplasmosis
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| aaroho
Forum Junior
Topics: 8
Posts: 75
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D-HIV myelopathy
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| spmvj
Forum Newbie
Topics: 3
Posts: 36
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D
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| drdg
Forum Senior
Topics: 31
Posts: 176
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Yes, D.
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| brutus25
Forum Junior
Topics: 13
Posts: 62
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I would go for C , as there appears to be a serious cognitive dysfunction.
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| titly
Forum Elite
Topics: 18
Posts: 293
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it should be C. HIV encephalitis
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| hanialkhadher
Forum Elite
Topics: 16
Posts: 256
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. HIV encephalitis
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"أقرأ بأسم ربك الذي خلق,خلق الأنسان من علق,أقرأ و ربك الأكرم, الذي علم بالقلم,علم الأنسان ما لم يعلم"
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| Kamsi
Forum Guru
Topics: 103
Posts: 347
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Ans C Hiv encephlopathy
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| docnikki
Forum Guru
Topics: 93
Posts: 680
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yup C
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