Idiopathic Intracranial Hypertension in an Adolescent With Recent Human Immunodeficiency Virus (HIV) Diagnosis: A Challenging Etiological Dilemma

Idiopathic Intracranial Hypertension in an Adolescent With Recent Human Immunodeficiency Virus (HIV) Diagnosis: A Challenging Etiological Dilemma

Idiopathic intracranial hypertension (IIH) or benign intracranial hypertension affects the neuro-ophthalmological system and leads to elevated intracranial pressure. Elevated opening pressure during lumbar puncture is diagnostic of IIH. Here in, we present an interesting case of a 15-year-old girl,...

Full description

Saved in:
Bibliographic Details
Published in:Curēus (Palo Alto, CA) Vol. 16; no. 5; p. e60001
Main Authors: Ebong, Imoh L, Delgado, Arleen, Aranda, Sofia S, Shonibare, Olufunto O, Aryal, Saman, Karki, Bijaya, Acosta, Katiusca
Format: Journal Article
Language:English
Published: United States Cureus Inc 09-05-2024
Cureus
Subjects:
Age groups
Antibiotics
Antigens
Cerebrospinal fluid
Diagnostic tests
Diplopia
Females
Guillain-Barre syndrome
Headaches
Hemoglobin
Hepatitis C
HIV
HIV/AIDS
Human immunodeficiency virus
Hypertension
Immunoglobulins
Immunology
Infections
Infectious Disease
Intracranial pressure
Medical diagnosis
Medical imaging
Meningitis
Neurological disorders
Ophthalmology
Patients
Pediatrics
Pelvic inflammatory disease
Teenagers
Urine
Visual acuity
lumbar puncture
hiv
doxycycline
idiopathic intracranial hypertension
body mass index
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Idiopathic intracranial hypertension (IIH) or benign intracranial hypertension affects the neuro-ophthalmological system and leads to elevated intracranial pressure. Elevated opening pressure during lumbar puncture is diagnostic of IIH. Here in, we present an interesting case of a 15-year-old girl, recently immigrated and with a high BMI, presenting with recurrent fever, abdominal issues, weight loss, and other symptoms, leading to a diagnosis of pelvic inflammatory disease (PID) and HIV infection. After treatment with antibiotics (doxycycline) and antiretroviral therapy, she developed IIH, manifesting as sudden-onset headache and vision problems. MRI and lumbar puncture confirmed the diagnosis. She responded well to acetazolamide and was discharged with continued medication and follow-up appointments. This case underscores the complexity of IIH development, especially in the setting of acute HIV infection and antibiotic treatment, highlighting the need for a comprehensive diagnostic approach and multidisciplinary management.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.60001