A 58 year-old male with hallucinations and ataxia

摘要

A 58 year old Caucasian male presented with weight and appetite loss over 2 to 3 months. He was recently diagnosed with HIV infection. His initial CD4 count was < 20 cells/mm~3 (7%) with a viral load of 352000 copies/ml. He was started on highly active antiretroviral therapy (HAART) and in the third month of therapy, he presented with increasing hallucinations and ataxia. Serologies for hepatitis A, hepatitis B, CMV, toxoplasma, syphilis, tuberculosis (TB) and Cryptococcus neoformans were negative. His CSF profile was negative for Cryptococcus neoformans, TB, HSV, CMV, toxoplasma, VZV and EBV were negative. In addition, his CD4 count rose to 202 cells/mm3 with a viral load of 425 copies/ml.