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HIV encephalopathy presenting as schizophrenia-like delusions during highly active antiretroviral therapy (HAART) case report

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Author(s): Mikako Fuji | 1Misaki Iseki | Seisho Takeuchi | Kyoko Kakeda | Shinji Shimodera | Hiromi Seo | Shimpei Inoue

Journal: Open Journal of Psychiatry
ISSN 2161-7325

Volume: 01;
Issue: 03;
Start page: 132;
Date: 2011;
Original page

Keywords: HIV | Encephalopathy | Schizophrenia | HAART | Antipsychotics

ABSTRACT
After HAART (highly active antiretroviral therapy), which is a powerful antiviral drug regimen, was introduced into HIV therapy for AIDS patients, AIDS mortality decreased dramatically. The incidence of encephalopathy among AIDS patients was reported to be 10% to 40% in the past, but the introduction of HAART resulted in a decrease in HIV encephalopathy and an increase in mild CNS-related deficits, which affect the quality of life of AIDS patients. We report the case of an AIDS patient who developed schizophrenia-like delusions associated with encephalopathy. Administration of an antipsychotic drug and hypnotics was effective in relieving the symptoms of patients with insomnia, depressed mood, and delusions. Further information on the neuronal mechanism underlying the mental symptoms observed in our patient will be necessary to understand the process of pathogenesis of the encephalopathy and to devise an adequate clinical strategy for treatment.

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Tangokurs Rapperswil-Jona

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