Cerebral toxoplasmosis requiring urgent brain biopsy

Moamen Al Zoubi; Beenish Zulfiqar; Mandavi Kulkarni

doi:10.1016/j.idcr.2017.05.003

IDCases (Jan 2017)

Cerebral toxoplasmosis requiring urgent brain biopsy

Moamen Al Zoubi,
Beenish Zulfiqar,
Mandavi Kulkarni

Affiliations

Moamen Al Zoubi: Department of Internal Medicine, Advocate Illinois Masonic Medical Center, Chicago, IL, USA, USA
Beenish Zulfiqar: Department of Internal Medicine, Advocate Illinois Masonic Medical Center, Chicago, IL, USA, USA
Mandavi Kulkarni: Section of Infectious Disease, Advocate Illinois Masonic Medical Center, Chicago, IL, USA, USA

DOI: https://doi.org/10.1016/j.idcr.2017.05.003
Journal volume & issue: Vol. 9, no. C
pp. 59 – 61

Abstract

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A 39-yerar-old man was admitted to our hospital with behavioral disturbances and generalized headaches. He was diagnosed with CNS toxoplasmosis after performing a brain biopsy. He found to be HIV positive with a CD4 of 14/uL He was started on ant toxoplasmosis along with antiretroviral therapy. He presented 6 weeks after discharge with worsening headache thought to be related to relapse of toxoplasmosis. However, he found to have severe anemia related to CMV-induced gastrointestinal bleeding. He was started on anti-cytomegalovirus drugs and has finally achieved significant improvement.

Published in IDCases

ISSN: 2214-2509 (Online)
Publisher: Elsevier
Country of publisher: United Kingdom
LCC subjects: Medicine: Internal medicine: Infectious and parasitic diseases
Website: http://www.journals.elsevier.com/idcases/

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