Abstract
A 35-year-old woman with hypertension, pancreatitis, and idiopathic renal disease developed decreased verbal output, sleepiness, and disorientation shortly after renal transplantation. MRI demonstrated striatal hyperintensity (figure, A). CSF showed 32 leukocytes (100% lymphocytes) and normal protein (47 mg/dL) and glucose (68 mg/dL). Tacrolimus levels were not elevated. Epstein-Barr virus (EBV) DNA was detected by PCR (1.5 × 102 copies/mL). She evolved to a …
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