Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
Parkinsonian Symptoms as an Initial Manifestation in a Japanese Patient with Acquired Immunodeficiency Syndrome and Toxoplasma Infection
Tatsufumi MURAKAMIMakoto NAKAJIMATahei NAKAMURAAkio HARAEiichiro UYAMAShuji MITAShuzo MATSUSHITAMakoto UCHINO
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2000 Volume 39 Issue 12 Pages 1111-1114

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Abstract

We studied a Japanese patient who developed parkinsonian symptoms over 3 months before the diagnosis of acquired immunodeficiency syndrome. Brain MRI showed multiple lesions with mass effect and ring enhancement in the basal ganglia and subcortical white matter suggesting Toxoplasma infection. Anti-Toxoplasma therapy and highly active antiretroviral therapy for 6 months allowed improvement of parkinsonism, brain MRI findings, and immune system.
(Internal Medicine 39:1111-1114, 2000)

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© The Japanese Society of Internal Medicine
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