Revista del Instituto de Medicina Tropical
versão impressa ISSN 1996-3696
Male patient, age 26, bricklayer, from Fernando de la Mora, known HIV carrier before 3 months, with CD4 73 cells without viral load without highly active antiretroviral therapy (HAART). Nodular pulmonary tuberculosis and treated for 1 years before 9 months post trauma left eye blindness, skin histoplasmosis 1 month prior. Admitted with convulsions. With history of 28 days of progressive and intensity headache, 20 days of dysarthria, strabismus, right upper limb paresis, hours before tonic clonic seizures in 2 chances. Chagas IgG negative and blood on one occasion a year earlier. On admission: BP: 90/60, FC: 76x, FR: 20x, Tº Ax: 36°, confused, Glasgow (GW) 14/15, convergent strabismus right eye, amaurosis of left eye, progress hampered by fasciobraquiocrural right hemiparesis, with hypoesthesia, mild stiff neck, burn scar on chest, back, shoulder and left arm, chest tattoos
Palavras-chave : HAART; tuberculosis; skin histoplasmosis.