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Updated: Jan 22, 2026

Rapid Screening of HIV Reverse Transcriptase and Integrase Inhibitors
Published on: April 9, 2014
HIV vasculopathy versus VZV vasculitis in an HIV patient with multiple brain ischaemic infarcts
Manuel F Granja1, Andre Monteiro1, Jason Day2
1Lyerly Neurosurgery, Baptist Neurological Institute, Jacksonville, Florida, USA.
Abstract:
We report the case of a 56-year-old man who presented to the emergency department with a 3-day onset of left limb weakness and feeling intoxicated with poor balance. Stroke hospitalisations in the USA decreased from 2000 to 2010, however the number of hospitalised patients with ischaemic stroke and HIV infection has increased significantly. Herein, we discuss the management of this unique case to highlight the importance of a broad differential diagnosis when approaching HIV/AIDS patients presenting with acute or subacute neurological focalisation. Given that HIV vasculopathy is a diagnosis of exclusion, it requires a thoughtful elimination of all possible aetiologies.
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