HIV-2 is common in West Africa but rarely found in developed countries. It usually has a milder disease course than HIV-1 and clinical presentations of neurological syndromes in HIV-2 are extremely rare. We report a case of a HIV-2-infected, 46-year-old woman originally from Cote d'Ivoire who presented with possible intracerebral toxoplasmosis infection then developed progressive multifocal leukoencephalopathy.
BienaimeA, ColsonP, MoreauJ. Progressive multifocal leukoencephalopathy in HIV-2-infected patient. AIDS2006;20:1342–3
2.
MarlinkR, KankiP, ThiorI, Reduced rate of disease development after HIV-2 infection as compared to HIV-1Science1994;265:1587–90
3.
TanK, RodaR, OstrowL, McArthurJ, NathA. PML-IRIS in patients with HIV infection: clinical manifestations and treatment with steroids. Neurology2009;72:1458–64
4.
SidhuN, McCutchanJA. Unmasking of PML by HAART: unusual clinical features and the role of IRIS. J Neuroimmunol2010;219:100–4
5.
ChanPA, WakemanSE, FlaniganT, Cu-UvinS, KojicE, KantorR. HIV-2 diagnosis and quantification in high-risk patients. AIDS Res Ther2008;5:18
6.
VítorD, AnaM, MatosJ, Saraiva da CunhaA. Melic o-Sivestre. Progressive multifocal leukoencephalopathy in HIV-2 infection. Case report. J Clin Virol48:215–7
7.
KaplanJE, BensonC, HolmesKH, BrooksJT, PauA, MasurH. Guidelines for prevention and treatment of opportunistic infections in HIV-infected adults and adolescents: recommendations from CDC, the National Institutes of Health, and the HIV Medicine Association of the Infectious Diseases Society of America. MMWR Recomm Rep2009;58:1–207;quiz CE1–4
8.
Van der EndeME, PrinsJM, BrinkmanK, Clinical, immunological and virological response to different antiretroviral regimens in a cohort of HIV-2-infected patients. AIDS2003;17(Suppl. 3):S55–61
9.
DamondF, LarivenS, RoquebertB, Virological and immunological response to HAART regimen containing integrase inhibitors in HIV-2-infected patients. AIDS2008;22:665–6
10.
ChenS Tan, KoralnikMD. Beyond progressive multifocal leukoencephalopathy: expanded pathogenesis of JC virus infection in the central nervous system. Lancet Neurol2010;9:425–37
11.
MarraCM, RajicicN, BarkerDE, A pilot study of cidofovir for progressive multifocal leukoencephalopathy in AIDS. AIDS2002;16:1791–7