| CASE REPORT |
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| Year : 2006 | Volume
: 48
| Issue : 1 | Page : 69-71 |
Progressive multifocal leucoencephalopathy in AIDS camouflaged with catatonia: A wolf in sheep's clothing
Pradeep Kumar, MK Jain
Department of Medicine, S.S. Medical College and Associated S.G.M. Hospital, Rewa, Madhya Pradesh, India
Correspondence Address:
Pradeep Kumar
F-22, Medical College Campus, Rewa, Madhya Pradesh
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0019-5545.31625
Progressive multifocal leucoencephalopathy (PML) may pose a clinical and diagnostic dilemma. The patient may remain in a protracted psychotic state with negative symptoms, without overt features of dementia. The condition blends with catatonia, and eventually with akinetic mutism in a patient of AIDS in the absence of clinical evidence of an immunocompromised state. The present case report highlights the need for an in-depth clinical, biochemical and MRI assessment of patients with catatonia and akinetic mutism. Stupor of an 'akinetic mutism' pattern seems an important indication for HIV screening, particularly in high-risk patients.
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