CMV ventriculitis

Case contributed by A.Prof Frank Gaillard

Presentation

HIV positive adult patient with very low CD 4+ count presents wtih altered conscious state.

MRI

MRI demonstrates numerous periventricular high T2 signal regions which restrict on DWI. The additional high signal on T2 and DWI is seen lining the ependymal surface of the lateral ventricles, which also demonstrates faint enhancement.

Finding are consistent with CMV infection.

Case Discussion

The patient went on to have a vitreous biopsy and lumbar punction. CSF  was positive for CMV on PCR and positive culture of CMV from vitreous biopsy.

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Case information

rID: 5416
Published: 19th Jan 2009
Last edited: 4th May 2018
Inclusion in quiz mode: Included

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