• The cranial CT shows no obvious lesions.
• Her hemogram shows
• A WBC of 2.3,
• Absolute lymphocyte count is 800 (low)
• Hemoglobin of 9.0 gm% and
• Platelet count of 142,000
• An LP is done, but labs are within normal limits.

She is treated supportively with PT and improves slightly.

• A repeat CT shows evidence of an ischemic stroke.
• Her ELIZA comes back positive.
• Fansidar is stopped and she is started on Septrin as prophylaxis for pneumocystis and toxoplasmosis.
• She cannot afford an echocardiogram and she is started on ASA.