A Diagnosis Can Hide Another: The Value of Brain Biopsy in Neurological Lesion of HIV Patients

Mariano Vitelli¹, Henri Malaizé¹, Franck Bielle^{2

3

4}, Alexandre Le Joncour^{3

5}, Aymeric Amelot¹, Marc Pineton de Chambrun^{3

6

7

8}, Bertrand Mathon^{1

3

4}

Affiliations

¹ Departments of Neurosurgery; and.
² Neuropathology, AP-HP, La Pitié-Salpêtrière-Charles Foix University Hospital, Paris, France.
³ Sorbonne University, Paris, France.
⁴ Brain and Spine Institute (ICM; INSERM, UMRS 1127; CNRS, UMR 7225), Paris, France.
⁵ Department of Internal Medicine and Clinical Immunology, AP-HP, La Pitié-Salpêtrière-Charles Foix University Hospital, Paris, France.
⁶ Department of Internal Medicine 2, AP-HP, La Pitié-Salpêtrière-Charles Foix University Hospital, Paris, France.
⁷ Intensive Care Medicine Department, AP-HP, La Pitié-Salpêtrière-Charles Foix University Hospital, Paris, France.
⁸ Sorbonne Université, INSERM, UMRS_1166-ICAN, Institute of Cardiometabolism and Nutrition, PARIS, France.

Case Reports

Mariano Vitelli et al. J Acquir Immune Defic Syndr. 2021.

. 2021 Jan 1;86(1):e6-e9.

doi: 10.1097/QAI.0000000000002511.

Mariano Vitelli¹, Henri Malaizé¹, Franck Bielle^{2

3

4}, Alexandre Le Joncour^{3

5}, Aymeric Amelot¹, Marc Pineton de Chambrun^{3

6

7

8}, Bertrand Mathon^{1

3

4}

¹ Departments of Neurosurgery; and.
² Neuropathology, AP-HP, La Pitié-Salpêtrière-Charles Foix University Hospital, Paris, France.
³ Sorbonne University, Paris, France.
⁴ Brain and Spine Institute (ICM; INSERM, UMRS 1127; CNRS, UMR 7225), Paris, France.
⁵ Department of Internal Medicine and Clinical Immunology, AP-HP, La Pitié-Salpêtrière-Charles Foix University Hospital, Paris, France.
⁶ Department of Internal Medicine 2, AP-HP, La Pitié-Salpêtrière-Charles Foix University Hospital, Paris, France.
⁷ Intensive Care Medicine Department, AP-HP, La Pitié-Salpêtrière-Charles Foix University Hospital, Paris, France.
⁸ Sorbonne Université, INSERM, UMRS_1166-ICAN, Institute of Cardiometabolism and Nutrition, PARIS, France.

No abstract available

References

1. Shih RY, Koeller KK. Central nervous system lesions in immunocompromised patients. Radiol Clin North Am. 2019;57:1217–1231.
1. Acosta MC, Kundro M, Viloria G, et al. The role of brain biopsy in the clinical management of HIV-related focal brain lesions. HIV Med. 2018;19:673–678.
1. Lang W, Miklossy J, Deruaz JP, et al. Neuropathology of the acquired immune deficiency syndrome (AIDS): a report of 135 consecutive autopsy cases from Switzerland. Acta Neuropathol. 1989;77:379–390.
1. Lanjewar DN, Jain PP, Shetty CR. Profile of central nervous system pathology in patients with AIDS: an autopsy study from India. AIDS. 1998;12:309–313.
1. van Bilsen WPH, van den Berg CHSB, Rijnders BJA, et al. Immune reconstitution inflammatory syndrome associated with toxoplasmic encephalitis in HIV-infected patients. AIDS. 2017;31:1415–1424.