Epstein-Barr virus (Infectious mononucleosis) Quiz: Ace Your Exams
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A 38-year-old woman is brought to the emergency department after developing confusion and lethargy. The patient’s friend reports that she complained of right-sided weakness several days ago. The patient has a history of HIV and is inconsistent with her antiretroviral medication regimen. Temperature is 37.5°C (99.5°F), pulse is 90/min, respirations are 16/min, and blood pressure is 124/82 mm Hg. The patient is arousable to voice. On physical examination, there is evidence of right-sided weakness and sensory loss. CD4 count is undetectable. MRI of the brain with contrast reveals a solitary, periventricular ring-enhancing lesion. Which of the following is the most likely etiology of this patient’s condition?
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