• BMJ case reports · Jul 2012

    Case Reports

    Acute encephalitis as initial presentation of primary HIV infection.

    • Hipólito Nzwalo, Rosário Pazos Añón, and Maria João Àguas.
    • Neurology Department, Faro Hospital, Faro, Portugal. hipnzwalo@yahoo.com.br
    • BMJ Case Rep. 2012 Jul 3; 2012.

    AbstractAcute encephalitis is a life-threatening condition. A wide variety of infectious agents are implicated and in many patients no cause is found. HIV acute seroconversion illness can rarely present as acute encephalitis. Although most experts agree in starting antiretroviral treatment in severe acute HIV infection, the evidence of the benefits are still lacking. The authors report a case of severe acute encephalitis as a primary presentation of HIV infection in which introduction of highly active antiretroviral treatment resulted in clinical recovery. This case highlights the need to consider HIV infection in the differential diagnosis of treatable viral encephalitis.

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