CD8 Encephalitis: A Diagnostic Dilemma
CD8+ encephalitis is a subacute encephalopathy associated with HIV infection. Pathophysiology is thought to be auto-reactive CD8+ cells attacking on HIV infected CD4+ cells and ‘viral escape’ phenomena (replication of CD8+ cells in CSF). We present a case of a 45-year-old man with well controlled HI...
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MDPI AG
2022-11-01
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Series: | Diagnostics |
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Online Access: | https://www.mdpi.com/2075-4418/12/11/2687 |
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author | Rohan Sharma Thomas Spradley Morgan Campbell Shubham Biyani Pulkit Singhal Hisham Elkhider Krishna Nalleballe Murat Gokden Manoj Kumar Nidhi Kapoor |
author_facet | Rohan Sharma Thomas Spradley Morgan Campbell Shubham Biyani Pulkit Singhal Hisham Elkhider Krishna Nalleballe Murat Gokden Manoj Kumar Nidhi Kapoor |
author_sort | Rohan Sharma |
collection | DOAJ |
description | CD8+ encephalitis is a subacute encephalopathy associated with HIV infection. Pathophysiology is thought to be auto-reactive CD8+ cells attacking on HIV infected CD4+ cells and ‘viral escape’ phenomena (replication of CD8+ cells in CSF). We present a case of a 45-year-old man with well controlled HIV who developed CD8 encephalitis following Herpes simplex encephalitis. He had persistent encephalopathy for several weeks with status epilepticus and agitated delirium, and diagnosis remained elusive until a brain biopsy confirmed the diagnosis. |
first_indexed | 2024-03-09T19:09:02Z |
format | Article |
id | doaj.art-17ad7012551b49a9a6417193bbc0d143 |
institution | Directory Open Access Journal |
issn | 2075-4418 |
language | English |
last_indexed | 2024-03-09T19:09:02Z |
publishDate | 2022-11-01 |
publisher | MDPI AG |
record_format | Article |
series | Diagnostics |
spelling | doaj.art-17ad7012551b49a9a6417193bbc0d1432023-11-24T04:19:20ZengMDPI AGDiagnostics2075-44182022-11-011211268710.3390/diagnostics12112687CD8 Encephalitis: A Diagnostic DilemmaRohan Sharma0Thomas Spradley1Morgan Campbell2Shubham Biyani3Pulkit Singhal4Hisham Elkhider5Krishna Nalleballe6Murat Gokden7Manoj Kumar8Nidhi Kapoor9Department of Neurocritical Care, Mayo Clinic in Florida, Jacksonville, FL 32224, USADepartment of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USACollege of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USADepartment of Neurology, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USACollege of Osteopathic Medicine, California Health Sciences University, Clovis, CA 93612, USADepartment of Neurology, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USADepartment of Neurology, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USADepartment of Pathology, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USADepartment of Radiology, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USADepartment of Neurology, Baptist Medical Center, Jacksonville, FL 32207, USACD8+ encephalitis is a subacute encephalopathy associated with HIV infection. Pathophysiology is thought to be auto-reactive CD8+ cells attacking on HIV infected CD4+ cells and ‘viral escape’ phenomena (replication of CD8+ cells in CSF). We present a case of a 45-year-old man with well controlled HIV who developed CD8 encephalitis following Herpes simplex encephalitis. He had persistent encephalopathy for several weeks with status epilepticus and agitated delirium, and diagnosis remained elusive until a brain biopsy confirmed the diagnosis.https://www.mdpi.com/2075-4418/12/11/2687CD8 encephalitisHIVHSVencephalitis |
spellingShingle | Rohan Sharma Thomas Spradley Morgan Campbell Shubham Biyani Pulkit Singhal Hisham Elkhider Krishna Nalleballe Murat Gokden Manoj Kumar Nidhi Kapoor CD8 Encephalitis: A Diagnostic Dilemma Diagnostics CD8 encephalitis HIV HSV encephalitis |
title | CD8 Encephalitis: A Diagnostic Dilemma |
title_full | CD8 Encephalitis: A Diagnostic Dilemma |
title_fullStr | CD8 Encephalitis: A Diagnostic Dilemma |
title_full_unstemmed | CD8 Encephalitis: A Diagnostic Dilemma |
title_short | CD8 Encephalitis: A Diagnostic Dilemma |
title_sort | cd8 encephalitis a diagnostic dilemma |
topic | CD8 encephalitis HIV HSV encephalitis |
url | https://www.mdpi.com/2075-4418/12/11/2687 |
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