Related or not? Development of spontaneous Creutzfeldt-Jakob disease in a patient with chronic, well-controlled HIV: A case report and review of the literature.

Journal Article

BACKGROUND: We report a novel case of a rare disease: spontaneous Creutzfeldt-Jakob disease in a patient with well-controlled HIV. We explore the relationship between spontaneous Creutzfeldt-Jakob disease and HIV. CASE REPORT: A 66-year-old man with long-standing, well-controlled HIV infection presented with 3 months of progressive, subacute neurocognitive decline. His symptoms included conceptual apraxia, apathy, memory impairment, and gait disturbance, and were initially attributed to depressive "pseudo-dementia." Unfortunately, the patient's symptoms rapidly progressed and he ultimately succumbed to his illness. Autopsy confirmed the clinical diagnosis of spontaneous Creutzfeldt-Jakob disease. DISCUSSION: This case highlights spontaneous Creutzfeldt-Jakob disease as a rare terminal illness in the setting of well-controlled chronic HIV. To our knowledge, this is the first report of a patient with chronic and previously well-controlled HIV infection dying from a prion disease. Despite the very different epidemiology and pathophysiology of HIV and spontaneous Creutzfeldt-Jakob disease, this case does raise questions of whether certain host genetic factors could predispose to both conditions, albeit currently, there is no clear causal link between HIV and spontaneous Creutzfeldt-Jakob disease.

Full Text

Duke Authors

Cited Authors

  • Babi, M-A; Kraft, BD; Sengupta, S; Peterson, H; Orgel, R; Wegermann, Z; Lugogo, NL; Luedke, MW

Published Date

  • 2016

Published In

Volume / Issue

  • 4 /

Start / End Page

  • 2050313X16672153 -

PubMed ID

  • 27781099

Pubmed Central ID

  • PMC5066582

International Standard Serial Number (ISSN)

  • 2050-313X

Digital Object Identifier (DOI)

  • 10.1177/2050313X16672153

Language

  • eng

Conference Location

  • England