Neurotoxoplasmosis in a Patient with Acquired Immunodeficiency Syndrome: Magnetic Resonance and Magnetic Resonance Spectroscopy Findings

Abstract

Human immunodeficiency virus (HIV) infection and acquired immunodeficiency syndrome (AIDS) is an important public health problem. In recent years, opportunistic infections that can develop in patients with AIDS are rapidly diagnosed by imaging modalities. A 31-year-old HIV-positive male patient presented with fever, headache and progressive bilateral muscle weakness. Magnetic resonance imaging (MRI) revealed multiple mass lesions with peripheral edema. In MR spectroscopy (S), lactate-lipid peak was detected. Hemorrhagic transformation was observed in some lesions in control brain MRI. Here, we aimed to present MRI and MRS findings of a patient with neurotoxoplasmosis and to demonstrate that hemorrhagic transformation may develop during follow-up and treatment.