Chronifizierte paranoid-halluzinatorische Psychose als Erstmanifestation einer HIV-Infektion?
- Resource Type
- Authors
- K H Meyer zum Büschenfelde; K. Ch Weber; M. Philipp; G. Ramadori; Helga Bernhard; U. Frommberger
- Source
- DMW - Deutsche Medizinische Wochenschrift. 114:503-506
- Subject
- medicine.medical_specialty
Psychosis
Lymphocytosis
medicine.diagnostic_test
business.industry
Psychoactive drug
Magnetic resonance imaging
General Medicine
Clinical manifestation
medicine.disease
Gastroenterology
Neuroimaging
Cerebral blood flow
Internal medicine
medicine
Dementia
medicine.symptom
business
medicine.drug
- Language
- ISSN
- 1439-4413
0012-0472
In a 36-year-old patient an acute onset of psychosis occurred, probably due to HIV infection. For one year HIV-infection with reduced T4/T8 ratio had been known without clinical manifestation (stage IV B of the CDC-classification). He developed chronic delusional hallucinations, which persisted for more than one year in spite of adequate psychoactive drug therapy. So far AIDS-related dementia has not become evident. Focal lesions caused by opportunistic infections or tumour were excluded by computed tomography and magnetic resonance imaging. The latter revealed several small lesions and the brain scan showed a nonhomogeneous pattern of cerebral blood flow. CSF-examination disclosed a mild lymphocytosis and raised protein concentration. A classification as an organic, HIV-induced delusional hallucination seems to be justified.