AIDS-related progressive multifocal leukoencephalopathy

Rev Soc Bras Med Trop. 2020 Dec 21:54:e02522020. doi: 10.1590/0037-8682-0252-2020. eCollection 2020.

Abstract

Introduction: Progressive multifocal leukoencephalopathy (PML) is a demyelinating disease of the central nervous system caused by reactivation of JC virus (JCV).

Methods: We described the profile of laboratory-confirmed PML cases among AIDS patients.

Results: A total of 43 HIV patients with clinical conditions compatible with PML were obtained; 5 cases were confirmed by JCV testing. The main clinical finding was mental confusion. Median CD4 count was 54 cells/mm³.

Conclusions: Three of the five confirmed PML cases died; the time between diagnosis and death was 2, 5, and 6 months. It is important to consider JCV infection as a differential diagnosis.

MeSH terms

  • Acquired Immunodeficiency Syndrome*
  • CD4 Lymphocyte Count
  • DNA, Viral
  • HIV Infections*
  • Humans
  • JC Virus* / genetics
  • Leukoencephalopathy, Progressive Multifocal* / diagnosis

Substances

  • DNA, Viral