Acessibilidade / Reportar erro

AIDS-related progressive multifocal leukoencephalopathy

Abstract

INTRODUCTION:

Progressive multifocal leukoencephalopathy (PML) is a demyelinating disease of the central nervous system caused by reactivation of JC virus (JCV).

METHODS:

We described the profile of laboratory-confirmed PML cases among AIDS patients.

RESULTS:

A total of 43 HIV patients with clinical conditions compatible with PML were obtained; 5 cases were confirmed by JCV testing. The main clinical finding was mental confusion. Median CD4 count was 54 cells/mm³.

CONCLUSIONS:

Three of the five confirmed PML cases died; the time between diagnosis and death was 2, 5, and 6 months. It is important to consider JCV infection as a differential diagnosis.

Keywords:
Progressive multifocal leukoencephalopathy; JC polyomavirus encephalopathy; JC virus

Sociedade Brasileira de Medicina Tropical - SBMT Caixa Postal 118, 38001-970 Uberaba MG Brazil, Tel.: +55 34 3318-5255 / +55 34 3318-5636/ +55 34 3318-5287, http://rsbmt.org.br/ - Uberaba - MG - Brazil
E-mail: rsbmt@uftm.edu.br