LAUSR

A 44-year man with HIV/AIDS, diagnosed 2 years ago but not on ART presented with intractable seizure. He was recently admitted to the hospital with new onset of seizure and found to have central nervous system (CNS) toxoplasmosis, oral thrush with low CD4þ cell count of 81 cells/ml and high viral load of 550 000 copies/ml. He was discharged on toxoplasmosis therapy and antiseizure medication few days prior this hospital admission with a plan to start ART in 2 weeks. On arrival, he was afebrile, haemodynamically stable and denied headache, neck stiffness, photophobia, nausea, vomiting. Physical examination was negative for focal neurological deficit. His social history was significant for active smoking and alcohol consumption.