Neurotoxoplasmosis. A case report
Keywords:
Poisoning/diagnosis/complications.Abstract
It was carried out the presentation of a 45 year-old patient with antecedents of being seropositive to the HIV and that had begun 10 days ago with agitation and increase of the inferior members' volume and daily fevers. All this together to a marked decline after several days of having entered began with vomits. They were carried out the complementary ones that were majority normal, it presented lightly low hemoglobin (105g/L), leucopenia to polimorfos prevalence, and to the physical exam, the pain to the palpatión and mobilization so much active as passive, as well as the edema of both inferior members, great irritability, and a axial computaraizer tomographi was also appreciated that it concluded that it was a Neurotoxoplasmosis. The authors revise the topic and they narrate their experiences in the handling of the case.Downloads
References
1. Fauci AS, Laine HC. Human immunodeficiency virus (HIV) disease: AIDS and related disorders. En: Harrison's principles of internal medicine. 15th ed. México: McGraw-Hill, 2005. p. 1791-1855.
2. Parra Morales R, Bermúdez Garcel A, Ricardo Puig O, Álvarez Peña M, Rojas Rojas S. Comportamiento clínico de la neurotoxoplasmosis en pacientes con VIH/SIDA en la Sala de Infeccioso. Correo Cient Méd Holguín. [Internet]. 2008 [Citado 20 julio de 2011]; 12(5): [Aprox. 12p.]. Disponible en: http://www.cocmed.sld.cu/no125/n125ori6.htm
3. Prandota J. The importance of toxoplasma gondii infection in diseases presenting with headaches. Headaches and aseptic meningitis may be manifestations of the Jarisch-Herxheimer reaction. Int J Neurosci. [Internet]. 2009 [Citado 20 julio de 2011]; 119(12): [Aprox. 8p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/19916846
4. Ho YC, Sun HY, Chen MY, Hsieh SM, Sheng WH, Chang SC. Clinical presentation and outcome of toxoplasmic encephalitis in patients with human immunodeficiency virus type 1 infection. J Microbiol Immunol Infect. [Internet]. 2008 Oct [Citado 20 julio de 2011]; 41(5): [Aprox. 6p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/19122919
5. Wang SM, Yang FF, Huang YX, Shi GF, Weng XH. Clinical analysis of 78 cases of parasitic encephalopathy. Zhongguo Ji Sheng Chong Xue Yu Ji Sheng Chong Bing Za Zhi. [Internet]. 2009 Jun [Citado 20 Julio de 2011]; 27(3): [Aprox. 3p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/19852369
6. Nogui FL, Mattas S, Turcato Junior G, Lewi DS. Neurotoxoplasmosis diagnosis for HIV-1 patients by real-time PCR of cerebrospinal fluid. Braz J Infect Dis. [Internet]. 2009 Feb [Citado 20 Julio de 2011]; 13(1): [Aprox. 5p.]. Disponible en: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702009000100006
7. Masamed R, Meleis A, Lee EW, Hathout GM. Cerebral toxoplasmosis: case review and description of a new imaging sign. Clin Radiol. [Internet]. 2009 May [Citado 20 Julio de 2011]; 64(5): [Aprox. 3p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/19348854
8. Shakhgilidian VI, Vasilieva TE, Peregudova AB, Gruzdev BM, Danilova TV, Martynova N, et al. Spectrum, clinical features, diagnosis of opportunistic and comorbid pathology in HIV-infected patients admitted to infection hospital of Moscow. Ter Arkh. [Internet]. 2008 [Citado 20 Julio de 2011]; 80(11): [Aprox. 7p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/19143183
9. Alfonso Y, Fraga J, Fonseca C, Jiménez N, Pinillo T, Dorta-Contreras AJ, et al. Molecular diagnosis of toxoplasma gondii infection in cerebrospinal fluid from AIDS patients. Cerebrospinal Fluid Res. [Internet]. 2009 [Citado 20 Julio de 2011]; 6: [Aprox. 2p]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2657107/
10. Sharma SK, Kadhiravan T, Banga A, Goyal T, Bhatia I, Saha PK. Spectrum of clinical disease in a series of 135 hospitalised HIV-infected patients from north India. BMC Infect Dis. [Internet]. 2004 [Citado 20 Julio de 2011]; 4: [Aprox. 1p.]. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC535567/

Published
How to Cite
Issue
Section
License
Authors who have publications with this journal agree to the following terms: Authors will retain their copyrights and grant the journal the right of first publication of their work, which will be publication of their work, which will be simultaneously subject to the Creative Commons Attribution License (CC-BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.
Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g.: deposit it in an institutional telematic archive or publish it in a volume). Likewise, and according to the recommendations of the Medical Sciences Editorial (ECIMED), authors must declare in each article their contribution according to the CRediT taxonomy (contributor roles). This taxonomy includes 14 roles, which can be used to represent the tasks typically performed by contributors in scientific academic production. It should be consulted in monograph) whenever initial publication in this journal is indicated. Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which may produce interesting exchanges and increase citations of the published work. (See The effect of open access). https://casrai.org/credit/