Fever, Hemiparesis and Hyponatraemia in a 63-year-old. HIV, another Great Masquerader?

Abstract

The authors describe the unusual case of a 63-year-old patient who was referred with fever and lethargy, and was found to be hyponatraemic. The patient subsequently developed hemiparesis, and neuroradiology showed several space-occupying brain lesions. The cause was later identified as cerebral toxoplasmosis in undiagnosed Acquired Immunodeficiency Syndrome (AIDS).

Keywords

• Toxoplasmosis
• HIV
• Acquired Immunodeficiency Syndrome
• Inappropriate ADH Syndrome