AIDS with acute cerebral infarct: A case report

Lin Hui Wu, Wei Hung Chen, Li Ming Lien, Chien Hsien Huang, Hou Chang Chiu

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

A 38 year-old male presented with an acute onset of left hemiplegia. Brain magnetic resonance imaging (MRI) revealed a bright lesion by diffusion-weighted imaging with low apparent diffusion coefficient value in the right subcortical region, a finding compatible with an acute cerebral infarct. An old infarct was also noted in the same imaging. Both enzyme-linked immunosorbent assay and Western blot method were positive for human immunodeficiency virus infection. The white blood cell count was 2930 cells / mm3, and the subpopulation study for lymphocyte revealed a decreased cluster of differentiation 4+ count of 149 cells/mm3. Studies for prothrombotic states showed decreased protein S and increased anticardiolipin antibodies. We concluded that this was a case of acquired immunodeficiency syndrome (AIDS) with acute and old cerebral infarcts. This patient might be the first reported case in Taiwan. AIDS might be related with stroke in young patients, a condition probably under-recognized in Taiwan.

Original languageEnglish
Pages (from-to)74-78
Number of pages5
JournalActa Neurologica Taiwanica
Volume14
Issue number2
Publication statusPublished - Jun 2005
Externally publishedYes

Keywords

  • Acquired immunodeficiency syndrome
  • Anticardiolipin antibodies
  • Cerebral infarct
  • Human immunodeficiency virus
  • Protein S deficiency

ASJC Scopus subject areas

  • Clinical Neurology

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  • Cite this

    Wu, L. H., Chen, W. H., Lien, L. M., Huang, C. H., & Chiu, H. C. (2005). AIDS with acute cerebral infarct: A case report. Acta Neurologica Taiwanica, 14(2), 74-78.