Key result
An HIV-positive patient presented with multiple lesions involving the brain and spinal cord that proved secondary to Chagas' disease on MRI.
Case Report (n=1)
Highlights the MRI findings of central nervous system involvement by Chagas' disease in an immunosuppressed patient.
Consider Chagas in HIV patients with multifocal CNS lesions on MRI; extends sparse imaging data but leaves diagnostic patterns open.
hagas' disease is the result of an infection caused by the parasite Trypanosoma cruzi It is estimated that 16-18 million people are infected worldwide with T. cruzi, 50,000 of whom die each year. Most of these individuals have lived in Latin America, particularly Mexico, Central America, and Brazil. Acute involvement of the central nervous system by Chagas' disease is rare, but presumed reactivation of chronic disease in immunosuppressed patients has been reported. It has been suggested that Chagas' disease be included in the list of diseases that define AIDS. In this article, we present the imaging findings from an HIV-positive patient who presented with multiple lesions involving the brain and spinal cord that proved secondary to Chagas' disease.
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Lury et al. (2005) conducted a case report in Chagas' disease involving the brain and spinal cord (n=1). Chagas' disease was evaluated on MRI findings. An HIV-positive patient presented with multiple lesions involving the brain and spinal cord that proved secondary to Chagas' disease on MRI.
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