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Progressive Multifocal Leukoencephalopathy: A Rare Cause of Altered Mentation
Arcole Brandon1, Shabnam Eghbali1, Suzanne Sharpton2
1Department of Medicine, Vanderbilt University Medical Center, Nashville, USA.
Cureus
|April 3, 2026
Summary
Progressive multifocal leukoencephalopathy (PML), a rare brain disease caused by John Cunningham virus (JCV), can be challenging to diagnose. This case highlights medication-induced PML in a patient with multiple conditions, emphasizing the need for clinical awareness.
Area of Science:
- Neurology
- Immunology
- Virology
Background:
- Progressive multifocal leukoencephalopathy (PML) is a rare, opportunistic demyelinating disease caused by the John Cunningham virus (JCV).
- While often associated with human immunodeficiency virus (HIV), PML can also be triggered by immunosuppressive medications.
- Diagnostic challenges arise from PML's varied presentation, especially when co-occurring conditions mimic its symptoms.
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