Seeing Snakes: An HIV Patient with Visual Hallucinations

A 45-year-old African American man with HIV presented to an outside hospital two months prior to the current hospitalization with unsteady gait and left hemiparesis. Magnetic resonance imaging (MRI) of the brain demonstrated a left postcentral gyrus and two left temporal lobe enhancing lesions. Mycobacterium tuberculosis polymerase chain reaction was negative, however, he had a history of exposure to a family member with tuberculosis and was consequently started on rifampin, isoniazid, pyrazinamide, and  ethambutol (RIPE) as well as antiretroviral therapy (ART).

Source: The American Journal of Medicine - February 17, 2020 Category: General Medicine Authors: Matthew J. Meyer, Jeffrey J. Carlson, Doris Lin Tags: Images in Radiology Source Type: research