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Toxoplasmosis, the most common opportunistic infection of the central nervous system (CNS) in AIDS, typically manifests on computed tomography (CT) scan as one or more contrast enhancing parenchymal lesions in the juxtacortical and basal gan glia areas. When hydrocephalus, without parenchymal lesions, is the only CT manifestation, the diagnosis may be problematic. The following case of this rare and always fatal complication of cerebral toxoplasmosis illustrates the need to consider this di agnostic possibility and anti-toxoplasma therapy. |
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