Internal Medicine Board Review - DiscWrite CD Promotions

On Nov 06 Recertification Exam
• 34-year-old y woman with HIV and a CD4 count of
60/mm³ presents with fever, diplopia, and
difficulty speaking for the past 4 days
A brain CT shows 3 low-density lesions in the left
and right parietal cortex and in the posterior
fossa. They are ring-enhancing with contrast
infusion
• The patient was treated for toxoplasmic
encephalitis p with py pyrimethamine plus p
sulfadiazine for 7 days. However, there was no
significant improvement in her symptoms and no
changes in the repeated CT