Author/Authors :
SOLEYMANI, Eissa Student Research Committee - Razi Teaching Hospital - Mazandaran University of Medical Sciences, Sari, Iran , BABAMAHMOODI, Farhang Antimicrobial Resistance Research Center - Mazandaran University of Medical Sciences, Sari, Iran , DAVOODI, Lotfollah Antimicrobial Resistance Research Center - Mazandaran University of Medical Sciences, Sari, Iran , MAROFI, Amirkeivan Antimicrobial Resistance Research Center - Mazandaran University of Medical Sciences, Sari, Iran , NOOSHIRVANPOUR, Peyman Dept. of Pathology - Management of Social Security Mazandaran Province, Qaemshahr, Iran
Abstract :
Toxoplasmic encephalitis is a common presentation of Toxoplasma gondii infection
of the central nervous system in the late stage in AIDS patients. A 40 yr old
female patient was admitted to Razi Hospital of Qaemshahr City in north of
Iran, in Nov 2015, with complaint of headache, blurring of vision, dysarthria
and acute left-side hemiplegia and right-side ptosis. Magnetic Resonance Imaging
(MRI) was performed with intravenous contrast that showed a ring enhancement
lesion in the right basal ganglia showing toxoplasmic encephalitis.
Anti-Toxoplasma IgG was positive. HIV antibody test was positive, as well. She
was treated successfully with antiparasitic and Anti-HIV drugs and eventually
was discharged from hospital. T. gondii infection is commonly detected by serologic
tests. Even if in this patient, brain imaging is essential for suitable diagnosis
and supervision, its results are not pathognomonic.
Keywords :
Toxoplasma gondii , HIV , Toxoplasmic encephalitis , Ring enhancement lesion
