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Cite this article:
Samira Rabhi, Kawthar Amrani, Mustapha Maaroufi, Zineb Khammar, Hajar Khibri, Maha Ouazzani, Rhizlane Berrady, Siham Tizniti, Ouafae Messouak, Faouzy Belahsen, Wafaa Bono. Hemichorea-hemiballismus as an initial manifestation in a Moroccan patient with acquired immunodeficiency syndrome and toxoplasma infection: a case report and review of the literature. The Pan African Medical Journal. 2011;10:9 Key words: Hemichorea ballismus, acquired immunodeficiency syndrome, HIV, cerebral toxoplasmosis Permanent link: http://www.panafrican-med-journal.com/content/article/10/9/full Received: 20/03/2011 - Accepted: 15/08/2011 - Published: 25/09/2011 © Samira Rabhi et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
Hemichorea-hemiballismus as an initial manifestation in a Moroccan patient with acquired immunodeficiency syndrome and toxoplasma infection: a case report and review of the literature
Samira Rabhi1,&, Kawthar Amrani1, Mustapha Maaroufi2, Zineb Khammar1, Hajar Khibri1, Maha Ouazzani1, Rhizlane Berrady1, Siham Tizniti2, Ouafae Messouak3, Faouzy Belahsen3, Wafaa Bono1
1Department of Internal medicine, Hassan II University Hospital, Faculty of Medicine and Pharmacy, University Sidi Mohammed Ben Abdellah, Morocco, 2Department of Radiology, Hassan II University Hospital, Faculty of Medicine and Pharmacy, University Sidi Mohammed Ben Abdellah, Morocco, 3Department of Neurology, Hassan II University Hospital, Faculty of Medicine and Pharmacy, University Sidi Mohammed Ben Abdellah, Morocco
&Auteur correspondant
Rabhi Samira, Department of Internal medicine, Hassan II University Hospital, Faculty of Medicine and Pharmacy, University Sidi Mohammed Ben Abdellah, Morocco
Neurologic signs and symptoms may represent the initial presentation of AIDS in 10-30% of patients. Movement disorders may be the result of direct central nervous system infection by human immunodeficiency virus (HIV) or the result of opportunistic infections. We report the case of a 59 years old woman who had hemichorea-hemiballismus subsequently found to be secondary to a cerebral toxoplasmosis infection revealing HIV infection. Movement disorders, headache and nausea were resolved after two weeks of antitoxoplasmic treatment. Brain MRI control showed a marked resolution of cerebral lesion. Occurrence of hemichorea-ballismus in patient without familial history of movement disorders suggests a diagnosis of AIDS and in particular the diagnosis of secondary cerebral toxoplasmosis. Early recognition is important since it is a treatable entity.
