Anti-retroviral therapy-induced status epilepticus in "pseudo-HIV serodeconversion".

Abstract:

:Diligence in the interpretation of results is essential as information gained from the psychiatric patient's history might often be restricted. Nonobservance of established guidelines may lead to a wrong diagnosis, induce a false therapy and result in life-threatening situations. Communication errors between hospitals and doctors and uncritical acceptance of prior diagnoses add substantially to this problem. We present a patient with alcohol-related dementia who received anti-retroviral therapy that promoted a non-convulsive status epilepticus. HIV serodeconversion was considered after our laboratory result yielded a HIV-negative status. Critical review of previous diagnostic investigations revealed several errors in the diagnosis of HIV infection leading to a "pseudo-serodeconversion." Finally, anti-retroviral therapy could be discontinued.

journal_name

Gen Hosp Psychiatry

authors

Etgen T,Eberl B,Freudenberger T

doi

10.1016/j.genhosppsych.2010.03.002

subject

Has Abstract

pub_date

2010-09-01 00:00:00

pages

559.e15-7

issue

5

eissn

0163-8343

issn

1873-7714

pii

S0163-8343(10)00052-6

journal_volume

32

pub_type

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