Toxoplasmosis in an Immunocompetent Patient

Toxoplasmosis is an obligate intracellular, food borne parasite disease with variable clinical presentation. Although the neurological presentation of toxoplasmosis in immunocompetent patients is uncommon, broad differential diagnosis should be kept in consideration when attending to similar patient...

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Bibliographic Details
Published in:Pakistan journal of medical sciences 2018-12, Vol.34 (6), p.1579-1581
Main Authors: Basit, Khalid Abdul, Nasir, Sadaf, Vohra, Ejaz, Shazlee, Muhammad Kashif
Format: Article
Language:English
Subjects:
Brain damage
Case Report
Consciousness
Edema
Encephalitis
Fever
Food
HIV
Human immunodeficiency virus
Immunocompetence
Infections
Lymphoma
Nervous system
NMR
Nuclear magnetic resonance
Parasites
Parasitic diseases
Patients
Systematic review
Toxoplasmosis
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Summary:Toxoplasmosis is an obligate intracellular, food borne parasite disease with variable clinical presentation. Although the neurological presentation of toxoplasmosis in immunocompetent patients is uncommon, broad differential diagnosis should be kept in consideration when attending to similar patients. Twenty years old man with no known co-morbid conditions presented with fever and unilateral limb weakness for three weeks. It increased gradually, associated with altered level of consciousness for the last five days, diagnosed as acute toxoplasmosis. MRI Brain showed multiple ring enhancing lesions in frontal, parietal and temporal lobes. Serology for toxoplasmosis denoted raised IgM levels 36IU/mL (cut off value > 18IU/mL). This case report describes the clinical presentation and management of neurological toxoplasmosis in immunocompetent patient. Early diagnosis and prompt management can resolve the symptoms at an earlier stage.
ISSN:1682-024X
1681-715X
DOI:10.12669/pjms.346.15016