Cytomegalovirus polyradiculopathy in HIV-infected patients
Journal of General Internal Medicine(1996)
Abstract
Cytomegalovirus polyradiculopathy, a late complication of HIV infection, is characterized by lower extremity weakness, urinary
retention, and sacral dysesthesias. We describe four patients (mean CD4 T-cell count=25 cells/mm3) who developed this “infectious cauda equina syndrome.” The characteristic cerebrospinal fluid (CSF) findings, notably atypical
for a viral infection, included polymorphonuclear leukocytosis (mean white blood cell count=1512 cells/mm3, 72% polymorphonuclear leukocytes), elevated protein level (mean=370 mg/dl), and hypoglycorrhacia (mean=28 mg/dl). Physicians
who treat patients with HIV should be familiar with this syndrome because early intervention, prior to microbiologic confirmation,
provides the best hope for improving neurologic function.
MoreTranslated text
Key words
aids.,polyradiculopath y,periph- eral neuropathy,cytomegalovirus
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