<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0121-0793</journal-id>
<journal-title><![CDATA[Iatreia]]></journal-title>
<abbrev-journal-title><![CDATA[Iatreia]]></abbrev-journal-title>
<issn>0121-0793</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Antioquia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0121-07932018000400407</article-id>
<article-id pub-id-type="doi">10.17533/udea.iatreia.v31n4a08</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Fotopsias como manifestación inicial de Sida secundario a toxoplasmosis cerebral: reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Photopsias as an initial manifestation of AIDS secondary to cerebral toxoplasmosis: case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Correa-Acosta]]></surname>
<given-names><![CDATA[Andrea]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Muñoz-Cardona]]></surname>
<given-names><![CDATA[Marta Lucía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Antioquia  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>31</volume>
<numero>4</numero>
<fpage>407</fpage>
<lpage>411</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0121-07932018000400407&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0121-07932018000400407&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0121-07932018000400407&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La toxoplasmosis cerebral es la infección oportunista más frecuente del sistema nervioso central (SNC) del paciente infectado por el virus de la inmunodeficiencia humana (VIH). Se considera un problema de salud pública por las secuelas físicas y neurosicológicas que genera. Se presenta con una sintomatología muy variable que puede ir desde cefalea, pasar por la fiebre y emesis, hasta las convulsiones y los cambios de comportamiento. No se encontró en la literatura mundial ningún reporte de caso donde se hiciera un diagnóstico de novo de VIH por fotopsias como primera manifestación de toxoplasmosis cerebral. A continuación, se presenta el caso de un paciente masculino, de 39 años, quien consultó por cuadro clínico de dos meses de evolución, constituido por fotopsias en ambos ojos acompañado de cefalea hemicráneana izquierda, sin más síntomas acompañantes. El examen oftalmológico no tuvo hallazgos patológicos, por lo cual se solicitó una tomografía axial computarizada (TAC) simple y contrastado de órbitas y cerebro, por el resultado se realizó una impresión diagnóstica de toxoplasmosis cerebral que fue la presentación inicial de su VIH subyacente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[SUMMARY Cerebral toxoplasmosis is the most frequent opportunistic infection of the central nervous system (CNS) in patients infected with the human immunodeficiency virus (HIV). It is considered a public health problem due to the physical and neurosychological sequels that it generates. It presents with a very variable symptomatology that can be from headache, fever and emesis until convulsions and behavior changes. No case report was found in the world literature where it was new diagnosed of HIV by photopsies as the first manifestation of cerebral toxoplasmosis. The case of a 39-year-old male patient was present. He presented with 2-month clinical course consisting of photopsies in both eyes, accompanied by left hemicranial headache. No more accompanying symptoms. The ophthalmologic examination was without pathological findings, for which simple and contrasted computed axial tomography of orbits and brain was requested where as a result a diagnostic impression of cerebral toxoplasmosis was made wich was the initial presentation of his underlying HIV.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Fotopsia]]></kwd>
<kwd lng="es"><![CDATA[SIDA]]></kwd>
<kwd lng="es"><![CDATA[Tomografía]]></kwd>
<kwd lng="es"><![CDATA[Toxoplasmosis Cerebral]]></kwd>
<kwd lng="es"><![CDATA[VIH]]></kwd>
<kwd lng="en"><![CDATA[AIDS]]></kwd>
<kwd lng="en"><![CDATA[Cerebral Toxoplasmosis]]></kwd>
<kwd lng="en"><![CDATA[HIV]]></kwd>
<kwd lng="en"><![CDATA[Photopsy]]></kwd>
<kwd lng="en"><![CDATA[Tomography]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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