CEREBRAL TOXOPLASMOSIS DIAGNOSED BY STEREOTACTIC BRAIN BIOPSY LEADING TO DETECTION OF HIV INFECTION

Cerebral toxoplasmosis remains the most common cerebral focal lesion with to high morbidity and mortality in HIV-AIDS. A 55 year old G 2 P 1 female being treated for abnormal uterine bleeding presented with fever, paresthesia, altered sensorium, headache and progressive loss of vision in both eyes. She was referred for neurocysticercosis on account of multiple intracranial space occupying lesions and was subsequently diagnosed to have cerebral toxoplasmosis through stereotactic brain biopsy and imaging, finally leading to the diagnosis of HIV infection. Such patients with unknown immunocompromised status in low HIV-prevalence developing countries may present late on account of seeking delayed medical attention. Cerebral toxoplasmosis is an asymptomatic latent infection known to lead to the diagnosis of HIV infection.