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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Main Authors: Rohan Sharma, Thomas Spradley, Morgan Campbell, Shubham Biyani, Pulkit Singhal, Hisham Elkhider, Krishna Nalleballe, Murat Gokden, Manoj Kumar, Nidhi Kapoor
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Diagnostics
Subjects:
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.
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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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