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* hiv +ve male
 #134228  
  airmax - 10/31/06 12:05
 
  a 30 yr old hiv +ve male presents with left sided paralysis of recent onset. his temp is 37.1C pulse is 78 bp 130/80 nd resp 16. the neurological examination reveals loss of recent memory expressive aphasia, hyperreflexia , hypertonia, nd upgoing plantars on the lt side. his current meds are zidouvudine , didanosine, indinavir nd trimethoprim-sulfamethoxazole. his cd4 count is 70/dl nd viral load is 90,000 by pcr. the sero is +ve for toxoplasma. CT scan shows multiple , hypodense non enhancing lesions with no mass effect in the cerebral white matter. whts the most likely diag??

a. cerebral toxoplasmosis
b. pr cns lymphoma
c. progressive multifocal leukoencephalopathy
d. AIDS dementia complex
e. subacute sclerosing panencephalitis

giv your answers and also try to mention hw would the clinical picture be in the other options...
 
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* Re:hiv +ve male
#537630
  malak - 10/31/06 12:09
 
  c. progressive multifocal leukoencephalopathy  
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* Re:hiv +ve male
#538872
  malak - 11/01/06 09:23
 
  ----------  
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* Re:hiv +ve male
#538882
  upsups - 11/01/06 09:29
 
  No mass effcet..PML  
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* Re:hiv +ve male
#539944
  epcot - 11/01/06 18:21
 
  airmax, all the best for yr exam  
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