amygda - vicissitude

[ArchivalUser]

ML explanation for the weakness in a college junior with sudden onset of L sided weakness, 3 years of positive HIV, CD4+ lym count of 30, temp of 38.5, BP 100/70, P 100., R 14, weakness and diminished perception to light touch and pinprick on the LU and lower extremities?
1. Cerebral toxoplasmosis
2. Herpes encephalitis
3. Progressive multifocal leukoencephalopathy
4. Kaposi™s sarcoma
5. Cryptococcal meningitis

[ArchivalUser]

ccrypticoccus meningitis in view of cd4 30

[ArchivalUser]

3. pml

[ArchivalUser]

cd < 50 --- cytomegalo, MAC, PML
cd < 100 --- toxo, cryptococcus, cryptosporido
cd < 200 --- pcp, dementia,
cd < 500 ---kaposi, oral thrus, tb, lymphoma...

[ArchivalUser]

yes for less than 50 -- pml may be a better choice

[ArchivalUser]

doesnt look like the symptoms fit in with the clinical pic of crypto. meningitis?

would vote for 3 too.

[ArchivalUser]

could it be 1 here

[ArchivalUser]

pml