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Figure 1. A 60-year-old chicken farmer was hospitalized with a two-month history of weakness, marked weight loss, and low-grade fever. He had cachexia with diffuse muscle weakness, exaggerated myotatic reflexes, bilateral ankle clonus, and Babinski signs. He did not have hepatosplenomegaly, lymphadenopathy, or mucocutaneous lesions. The patient was not taking immunosuppressants, and tests for the human immunodeficiency virus were negative, but his CD4 cell count was 238 per cubic millimeter. Chest radiograms were normal. T1-weighted magnetic resonance imaging of the brain revealed multiple ring-enhancing lesions of the cerebrum, cerebellum, and brain stem (larger lesions are indicated by arrowheads . . . [Full Text of this Article] |
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