[Clinical Picture] Disseminated aspergillosis in an HIV-positive cannabis user taking steroid treatment

A 47-year-old woman with well controlled HIV (CD4>1000 cells per μL and an undetectable viral load) presented to our hospital with confusion and seizures. Results of brain MRI were unremarkable. Cerebrospinal fluid (CSF) analysis showed lymphocytosis (20 cells per μL), a high protein concentration (0·52 g/L), and a low glucose concentration (3·2 mmol/L in CSF vs 8·1 mmol/L in serum). CT chest images revealed a cavitating lesion in the left upper lobe of the lung, with surrounding tree-in-bud opacities.
Source: The Lancet Infectious Diseases - Category: Infectious Diseases Authors: Tags: Clinical Picture Source Type: research