Viral Infections

  • Author: Jin S. Suh, MD, FACP (More Info)
  • Editors in Chief: Daniel R. Kuritzkes, MD; Joseph J. Eron, Jr., MD
  • Last Reviewed: 7/26/16 (What's New)

Summary

    Epidemiology
    • Although PML incidence has decreased significantly since the widespread use of ART, PML has been reported in HIV-infected patients with CD4+ cell counts > 300 cells/mm3 and as a complication of IRIS[Albrecht 1998; Ratnam 2006]
    Clinical Presentation
    • Clinical manifestations of PML vary depending on the area of the central nervous system involved, ranging from diffuse encephalopathy to focal deficits such as ataxia, hemiparesis, or speech difficulties
    • Rapid progression (weeks to months) is common
    Diagnosis
      Treatment
        Progressive Multifocal Leukoencephalopathy Prophylaxis

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