Atypical imaging appearance of toxoplasmosis in an HIV patient as a butterfly lesion

✍ Scribed by Vinika V. Chaudhari; Catherine M. Yim; Heba Hathout; Andrew Lai; Suzanne M. Donovan

• Book ID: 102376423
• Publisher: John Wiley and Sons
• Year: 2009
• Tongue: English
• Weight: 225 KB
• Volume: 30
• Category: Article
• ISSN: 1053-1807
• DOI: 10.1002/jmri.21924

✦ Synopsis

Abstract

In acquired immunodeficiency syndrome (AIDS) patients, differentiating toxoplasmosis and primary central nervous system (CNS) lymphoma remains a clinical and radiographic dilemma. The presence of butterfly lesions crossing the corpus callosum is customarily used to exclude the possibility of toxoplasmosis. We present an AIDS patient who had Epstein‐Barr virus (EBV) polymerase chain reaction (PCR) ‐positive cerebrospinal fluid studies with a butterfly toxoplasmosis lesion confirmed by multiple methods signifying the importance of including toxoplasmosis in the differential diagnosis of butterfly lesions. J. Magn. Reson. Imaging 2009;30:873–875. © 2009 Wiley‐Liss, Inc.