Nervous System

The symptom of headache is commonly encountered in patients with HIV infection. Careful evaluation and follow up is required to exclude meningitis and other CNS infections. Rule out a serum cryptococcal antigenaemia (CrAg) especially is CD4 count is less than 100. If CrAg positive refer for lumbar puncture (LP). Also refer for LP if the headache is associated with fever, vomiting, neck stiffness, seizures, confusion as all these are “danger” symptoms and signs. Also refer to Section on Neurologi