Fig. 3.

26-year-old male who presented with acute onset of inability to speak, left hemiparesis of 6 h duration with drowsiness. There was a history of loss of weight and appetite with generalized weakness of 2 months. MRI Brain revealed an area of true restriction in the right internal capsule of diffusion weighted images suggestive of an infarct. Patient underwent CSF examination which showed pleocytosis with 800 white blood cells (polymorphs 65%, lymphocytes 35%), raised proteins (120 mgs) and very low sugar levels (40 mgs). A TB PCR for Mycobacterium Tuberculosis was found positive on the CSF. He was further evaluated for an immunocompromised state and was found to be positive for HIV by Elisa and Western Blot assays.