volume 77, issue 12, P901-902 2019
DOI: 10.1590/0004-282x20190171
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Abstract: A 29-year-old male patient with an untreated HIV infection for seven years presented with a two-month history of neck pain, progressive left-hand weakness and numbness. Physical examination showed C5-C6 territory hypoesthesia and urinary bladder retention. A spinal MRI (Figure 1) showed a single contrast-enhanced lesion at C4-C6 level, cerebrospinal fluid analysis showed 3.6 white blood cells/mm 3 and a positive IgG for toxoplasma. Despite empiric treatment, the disease progressed locally and to the brainstem.…

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