Progressive multifocal leukoencephalopathy in a patient without apparent immunosuppression.

Abstract:

:An 80-year-old man with no history of an immune-compromising disorder was diagnosed with progressive multifocal leukoencephalopathy (PML). He presented with dysphagia and left-sided weakness; magnetic resonance imaging demonstrated marked signal abnormality in the subcortical white matter of the left frontal lobe and in the posterior limb of the right internal capsule. Polymerase chain reaction (PCR) analysis of the cerebrospinal fluid (CSF) was negative for John Cunningham (JC) virus. On brain biopsy, foamy macrophages infiltrating the white matter were identified, staining positive for anti-simian virus 40 antibodies. Postoperatively, PCR for JC viral DNA in the CSF was positive, establishing the diagnosis of PML. Extensive investigation for an occult immunocompromising disorder was negative. The patient's neurologic deficits rapidly increased throughout his hospital stay, and he died 3.5 months after his diagnosis.

journal_name

Virol J

journal_title

Virology journal

authors

Vaklavas C,Sotelo-Rafiq EP,Lovy J,Escobar MA,Tsimberidou AM

doi

10.1186/1743-422X-7-256

subject

Has Abstract

pub_date

2010-09-28 00:00:00

pages

256

issn

1743-422X

pii

1743-422X-7-256

journal_volume

7

pub_type

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