Does management of NMDA receptor encephalitis change in a patient with HIV/AIDS?

In a patient who is immunodeficient, one must be mindful of the risk of opportunistic infections from additional immunosuppression. With that being said, I would still proceed with first-line therapy (pulse steroids and oral taper, IVIG) and symptomatic/supportive care with anti-seizure medicines and treatment of autonomic instability.

I check CD4/8 counts and HIV viral load at presentation as well. If the patient has adequate CD4 count, undetectable viral load, and is receiving antiretrovirals, ...