Tuberculous Brain Abscess and Toxoplasma Encephalitis in a Patient With the Acquired Immunodeficiency Syndrome

INFECTIOUS diseases of the central nervous system among immunocompromised patients are not uncommon but rarely involve more than one pathogen.1Mycobacterium tuberculosisis an infrequent cause of central nervous system infection among immunocompromised patients.2,3When seen, meningitis is by far the most common presentation. Occurrence of a tuberculous brain abscess is rare.4-8 Toxoplasmaencephalitis has been recognized as one of the more common central nervous system infections among patients with the acquired immunodeficiency syndrome (AIDS). Concomitant infections, although uncommon, may be an emerging problem. The present report summarizes our experience with a patient who had a tuberculous brain abscess and concomitantToxoplasmaencephalitis. Report of a Case A 22-year-old Haitian woman was admitted to the hospital with a nine-month history of fever, watery diarrhea, anorexia, and a 9.1-kg weight loss. A three-month history of tingling and progressive weakness of the left upper and lower extremities, with inability