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Atypical imaging appearance of toxoplasmosis in an HIV patient as a butterfly lesion
Author(s) -
Chaudhari Vinika V.,
Yim Catherine M.,
Hathout Heba,
Lai Andrew,
Donovan Suzanne M.
Publication year - 2009
Publication title -
journal of magnetic resonance imaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.563
H-Index - 160
eISSN - 1522-2586
pISSN - 1053-1807
DOI - 10.1002/jmri.21924
Subject(s) - toxoplasmosis , butterfly , lesion , medicine , human immunodeficiency virus (hiv) , pathology , radiology , virology , biology , ecology
Abstract In acquired immunodeficiency syndrome (AIDS) patients, differentiating toxoplasmosis and primary central nervous system (CNS) lymphoma remains a clinical and radiographic dilemma. The presence of butterfly lesions crossing the corpus callosum is customarily used to exclude the possibility of toxoplasmosis. We present an AIDS patient who had Epstein‐Barr virus (EBV) polymerase chain reaction (PCR) ‐positive cerebrospinal fluid studies with a butterfly toxoplasmosis lesion confirmed by multiple methods signifying the importance of including toxoplasmosis in the differential diagnosis of butterfly lesions. J. Magn. Reson. Imaging 2009;30:873–875. © 2009 Wiley‐Liss, Inc.