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A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
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Manifestaciones Clínicas

Swathi T1, Thamil Pavai Swathi2

  • 1Kauvery hospital, Chennai, Tamil nadu, India.

Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 25, 2025
PubMed
Resumen

Este caso destaca la leucoencefalopatía multifocal progresiva (LMP) que se presenta como demencia, diagnosticada tres años después del tratamiento del linfoma no Hodgkin (LNH). El ADN del virus JC confirmó la LMP, una rara complicación tardía de la quimioterapia.

Palabras clave:
leucoencefalopatía multifocal progresivademencialinfoma no Hodgkinvirus JCquimioterapia

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Área de la Ciencia:

  • Neurociencia; Oncología; Enfermedades Infecciosas

Sus antecedentes:

  • La leucoencefalopatía multifocal progresiva (LMP) es una complicación conocida en pacientes inmunocomprometidos, incluidos aquellos con malignidad o en tratamiento de quimioterapia.; Este estudio se centra en un caso raro de LMP que se presenta años después del tratamiento del linfoma no Hodgkin (LNH).

Objetivo del estudio:

  • Informar un caso raro de LMP que se presenta como demencia tres años después del tratamiento de LNH.; Destacar los desafíos diagnósticos y la presentación tardía de la LMP inducida por quimioterapia.

Principales métodos:

  • Se evaluó a un hombre de 33 años tratado por LNH espinal con radiación y quimioterapia R-CHOP por síntomas neurológicos.; El estudio diagnóstico incluyó RM cerebral y análisis del líquido cefalorraquídeo (LCR) para detectar el ADN del virus JC.

Principales resultados:

  • El paciente presentó ataxia, deterioro de la memoria y cambios de comportamiento.; La RM reveló hiperintensidades de la sustancia blanca y las pruebas de LCR fueron positivas para el ADN del virus JC, lo que confirmó la LMP.; Los diagnósticos diferenciales incluyeron linfoma del SNC, síndrome paraneoplásico y enfermedad priónica.

Conclusiones:

  • Este caso representa una instancia rara de LMP que ocurre tres años después de la quimioterapia para LNH.; La demencia puede ser una presentación enmascarada de la LMP, incluso años después de completar el tratamiento.; Los hallazgos subrayan la importancia de considerar la LMP de aparición tardía en pacientes inmunocomprometidos con deterioro neurológico.