Acta neurológica colombiana
Coinfection of Streptococcus agalactiae meningitis and cerebral toxoplasmosis in an HIV-immunocompromised patient: A case report
By Enrique Steff Hernández Rojas, Jhonier Estiven Maldonado Rico, Ana María Díaz Aldana and 2 others.
Abstract
Introduction
Human immunodeficiency virus (HIV) infection is a major predisposing factor for immunosuppression in untreated patients, increasing susceptibility to opportunistic infections. Among these, bacterial meningitis and cerebral toxoplasmosis are common, although they may present with atypical manifestations that delay diagnosis.
Case presentation
We report a 38-year-old man who presented with neurological focalization and abnormal vital signs. The diagnosis of de novo HIV directed the evaluation toward neuroinfection. Cerebrospinal fluid analysis confirmed Streptococcus agalactiae, and brain magnetic resonance imaging revealed lesions consistent with cerebral toxoplasmosis, establishing a coinfection of exceptional rarity in the indexed literature.