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 Jjournal_title
Virology journalauthors
Vaklavas C,Sotelo-Rafiq EP,Lovy J,Escobar MA,Tsimberidou AMdoi
10.1186/1743-422X-7-256subject
Has Abstractpub_date
2010-09-28 00:00:00pages
256issn
1743-422Xpii
1743-422X-7-256journal_volume
7pub_type
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