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CASE PRESENTATION AND RESULTS: A 24-year-old male with a past medical history of HIV infection diagnosed in 1991, developed a systemic vasculitis with asthma, necrotising glomerulonephritis and mononeuritis multiplex with cauda equina syndrome. The diagnosis was made by means of the presence of small vessel vasculitis with biopsy, urinalysis, cerebrospinal fluid examination and computer tomography. A positron emission tomography scan was used to make a diagnosis of vasculitis. The patient responded to treatment with anti-asthmatic, antimycotic and non-steroid anti-inflammatory drugs, plasma exchange and intravenous immunoglobulin. The patient continues to be followed on an out-patient basis. A literature review of 18 cases of Churg-Strauss syndrome seen in Argentina from 1995 to 2002 are discussed. A possible cause of vasculitis in HIV-positive patients could be an immune response directed to antigens present in the virus. This immune response is generated by the T-helper cell subset 1 (Th1) which produces interferon gamma in response to viral antigens. It is necessary to study the immunohistochemical pattern of Th1/Th2 cells in the tissue of the vascular lesions.Odenna
Odenna is a village and civil parish in the borough of Newark