Psychosis of dual origin in HIV infection: Viral escape syndrome and autoimmune encephalitis

Consider anti-NMDA encephalitis and viral escape syndrome (low HIV load in serum and high in CSF) in patients with HIV with neuropsychiatric disturbances because both require specific therapy measures. Anti-NMDA encephalitis requires immunotherapy; viral escape syndrome requires an antiretroviral regimen. CD8 encephalitis may coexist with viral escape syndrome and may respond to steroids.

Source: Neurology Clinical Practice - April 7, 2019 Category: Neurology Authors: Anguizola-Tamayo, D., Bocos-Portillo, J., Pardina-Vilella, L., Rodriguez-Sainz, A., Vicente-Olabarria, I., Martinez, E., Gomez-Beldarrain, M., Garcia-Monco, J. C. Tags: Autoimmune diseases, All Infections, HIV Case Source Type: research