A woman with fever and confusion

A 37-year-old HIV-positive woman presented to the emergency department with fever, headache, confusion, and seizures for 3 days. Computed tomography of the head with contrast demonstrated multiple ring-enhancing masses. An eccentric mural nodule in ring-enhanced mass characterizes eccentric target s...

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Bibliographic Details
Published inHong Kong journal of emergency medicine Vol. 30; no. 6; pp. 453 - 454
Main Authors Hsu, Hung-Lin, Lee, Wei-Jing
Format Journal Article
LanguageEnglish
Published Hong Kong SAGE Publications 01.11.2023
Sage Publications Ltd
Subjects
Case reports
Cerebral toxoplasmosis
Contrast sensitivity (Vision)
Head
HIV (Viruses)
Neurological disorders
Neurotoxicity
neurotoxoplasmosis
opportunistic infections
Patients
Radiology
Tomography
neurotoxoplasmosis
opportunistic infections
Cerebral toxoplasmosis
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Summary:A 37-year-old HIV-positive woman presented to the emergency department with fever, headache, confusion, and seizures for 3 days. Computed tomography of the head with contrast demonstrated multiple ring-enhancing masses. An eccentric mural nodule in ring-enhanced mass characterizes eccentric target sign, which is pathognomonic for cerebral toxoplasmosis. The patient received anti-toxoplasmic therapy and had marked clinical improvement.
Bibliography:Hong Kong Journal of Emergency Medicine, Vol. 30, No. 6, Nov 2023, 453-454
Informit, Melbourne (Vic)
ISSN:1024-9079
2309-5407
DOI:10.1177/1024907920976076