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Joseph's CT results are not available until
the 8th hospital day.
- By the time Joseph's CT results are
back, he has
- A right ptosis and
- A blown right pupil.
- The CT shows multiple ring enhancing
masses.
- Joseph's ELIZA is positive for HIV.
Toxoplasmosis is the most common cause
of focal neurological deficits in the HIV+ patient.
The typical presentation consists of: |
![](../../media/mncas/cas7ct3.gif)
Photo courtesy of Aidscicence. |
- Fever, headache, deterioration of mental
status and focal neurological deficits.
In the immunocompromised patient, this
represents reactivation, just like TB, rather than a primary infection.
Better tell me about
toxoplasmosis.
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