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Image Quiz

2014 October

<p>Magnetic resonance imaging (MRI) of the brain of a woman in her thirties with word-finding difficulties, expressive aphasia and right arm weakness of 4-weeks' duration is shown (axial T2-weighted image).  Testing for antibodies to HIV was positive, the white cell count was 2200 per cubic millimeter (44% neutrophils, 45% lymphocytes) and CD4 T-cells were 20 per cubic millimeter.</p>
<p><b>The most likely diagnosis is which of the following?</b></p>

Magnetic resonance imaging (MRI) of the brain of a woman in her thirties with word-finding difficulties, expressive aphasia and right arm weakness of 4-weeks' duration is shown (axial T2-weighted image). Testing for antibodies to HIV was positive, the white cell count was 2200 per cubic millimeter (44% neutrophils, 45% lymphocytes) and CD4 T-cells were 20 per cubic millimeter.

The most likely diagnosis is which of the following?



What is the diagnosis?
  • Arbovirus infection
  • Polyomavirus infection
  • Herpes virus infection
  • Spirochete infection
  • Dematiaceous fungus infection
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