Creamer, A;
Ioannidis, S;
Wilhelm, T;
Mahangu, T;
Lipman, M;
(2016)
Headache in an HIV positive patient: diagnostic challenges and approach to treatment.
Clinical Medicine
, 16
(6)
pp. 548-550.
10.7861/clinmedicine.16-6-548.
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Abstract
Headaches are a common complaint in HIV positive patients attending emergency services. A thorough understanding of the differential diagnoses, initial investigations and empirical management of this presentation is essential for the assessing physician. We discuss a case of a patient with known advanced HIV infection presenting with headache to the emergency department. Given the range of possible diagnoses, broad-spectrum antimicrobial therapy was initially commenced. This was stopped when magnetic resonance imaging confirmed a diagnosis of venous sinus thrombosis. Anticoagulation therapy was started in accordance with current clinical guidelines after discussing the rationale and options for treatment with the patient. Here, we review the guidelines and supporting evidence for management of venous sinus thrombosis, and consider the challenges and strategies for engaging a patient with previous poor attendance in their ongoing care.
| Type: | Article |
|---|---|
| Title: | Headache in an HIV positive patient: diagnostic challenges and approach to treatment |
| Location: | England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.7861/clinmedicine.16-6-548 |
| Publisher version: | http://doi.org/10.7861/clinmedicine.16-6-548 |
| Language: | English |
| Additional information: | This version is the version of record. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | Anticoagulation, HIV, headache, tumour, venous sinus thrombosis, Adult, Anticoagulants, Brain, Diagnosis, Differential, HIV Infections, Headache, Humans, Magnetic Resonance Angiography, Male, Sinus Thrombosis, Intracranial |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine > Respiratory Medicine |
| URI: | https://discovery.ucl.ac.uk/id/eprint/1570414 |
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