Presentation
T10 left-sided segmental pain with subacute ascending Brown-Séquard syndrome. Herpes zoster vesicular rash in the left T10 dermatome.
Patient Data
Age: 45 years
Gender: Male
From the case:
HIV-associated varicella-zoster myelitis
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T2 images of the spinal cord demonstrate a hyperintensive lesion from the T10 to T11 level with associated mild enhancement.
Case Discussion
The patient has been immunocompromised and untreated HIV positivity for 10 years.
СBC: lymphocytes 0.7 * 109 /L (normal range 1-4.8).
Serum analysis revealed the presence of cytomegalovirus and varicella-zoster virus.
CSF analysis was positive for the varicella-zoster virus.
A diagnosis of HIV-associated varicella-zoster myelitis was therefore made.
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