Pathology

A 37-year-old HIV-positive man has had a relapsing and remitting course of motor and sensory problems for the past year, including difficulty with ambulation as well as symmetric numbness and tingling in all extremities. Nerve conduction studies show findings consistent with demyelination and remyelination. He is treated with plasmapheresis. Which of the following disorders is most likely to cause this man's neurologic disease?