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Neurotoxoplasmosis in a Patient with Chronic Lymphocytic Leukemia. J Belg Soc Radiol 2021; 105:30. [PMID: 34046550 PMCID: PMC8139301 DOI: 10.5334/jbsr.2475] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Teaching Point: Neurotoxoplasmosis should be part of the differential diagnosis for single or multiple cerebral lesions in hematologic patients.
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Dupont D, Fricker-Hidalgo H, Brenier-Pinchart MP, Garnaud C, Wallon M, Pelloux H. Serology for Toxoplasma in Immunocompromised Patients: Still Useful? Trends Parasitol 2020; 37:205-213. [PMID: 33046380 DOI: 10.1016/j.pt.2020.09.006] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2020] [Revised: 09/11/2020] [Accepted: 09/15/2020] [Indexed: 12/22/2022]
Abstract
Toxoplasmosis represents one of the most common comorbidity factors in solid organ or hematopoietic stem cell transplant recipients as well as in other immunocompromised patients. In the past decades, availability and performance of molecular tools for the diagnosis or the exclusion of toxoplasmosis in these patients have greatly improved. However, if accurately used, serology remains a complementary and essential diagnostic tool for physicians and medical parasitologists for the prevention and management of toxoplasmosis in immunocompromised patients as well. It is required for determination of the immunological status of patients against Toxoplasma. It also helps diagnose and monitor complex cases of opportunistic Toxoplasma infection in immunocompromised patients. New perspectives are available to further enhance their yield and ease of use.
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Affiliation(s)
- Damien Dupont
- Institut des Agents Infectieux, Service de Parasitologie Mycologie Médicale, Hôpital de la Croix-Rousse, Hospices Civils de Lyon, Lyon, 69004, France; Physiologie intégrée du système d'éveil, Centre de Recherche en Neurosciences de Lyon, INSERM U1028-CNRS UMR 5292, Faculté de Médecine, Université Claude Bernard Lyon 1, Bron, 69500, France.
| | - Hélène Fricker-Hidalgo
- Laboratoire de Parasitologie-Mycologie, CHU Grenoble Alpes, Grenoble, 38000, France; Institut pour l'Avancée des Biosciences (IAB), INSERM U1209-CNRS UMR 5309, Université Grenoble Alpes, Grenoble, 38000, France
| | - Marie-Pierre Brenier-Pinchart
- Laboratoire de Parasitologie-Mycologie, CHU Grenoble Alpes, Grenoble, 38000, France; Institut pour l'Avancée des Biosciences (IAB), INSERM U1209-CNRS UMR 5309, Université Grenoble Alpes, Grenoble, 38000, France
| | - Cécile Garnaud
- Laboratoire de Parasitologie-Mycologie, CHU Grenoble Alpes, Grenoble, 38000, France; Université Grenoble Alpes, CNRS, CHU Grenoble Alpes, Grenoble INP, TIMC-IMAG, Grenoble, 38000, France
| | - Martine Wallon
- Institut des Agents Infectieux, Service de Parasitologie Mycologie Médicale, Hôpital de la Croix-Rousse, Hospices Civils de Lyon, Lyon, 69004, France; Physiologie intégrée du système d'éveil, Centre de Recherche en Neurosciences de Lyon, INSERM U1028-CNRS UMR 5292, Faculté de Médecine, Université Claude Bernard Lyon 1, Bron, 69500, France
| | - Hervé Pelloux
- Laboratoire de Parasitologie-Mycologie, CHU Grenoble Alpes, Grenoble, 38000, France; Institut pour l'Avancée des Biosciences (IAB), INSERM U1209-CNRS UMR 5309, Université Grenoble Alpes, Grenoble, 38000, France
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Abbasi Fard S, Khajeh A, Khosravi A, Mirshekar A, Masoumi S, Tabasi F, Hassanzadeh T, Mortazavi MM. Fulminant and Diffuse Cerebral Toxoplasmosis as the First Manifestation of HIV Infection: A Case Presentation and Review of the Literature. AMERICAN JOURNAL OF CASE REPORTS 2020; 21:e919624. [PMID: 31982888 PMCID: PMC6998800 DOI: 10.12659/ajcr.919624] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Patient: Male, 9-year-old Final Diagnosis: Fulminant and diffuse cerebral toxoplasmosis Symptoms: Decreased level of consciousness • fever • generalized tonic-clonic seizures • hemiplegia Medication: — Clinical Procedure: Decompressive hemicraniectomy Specialty: Neurosurgery
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Affiliation(s)
- Salman Abbasi Fard
- Department of Neurosurgery, National Skull Base Foundation, Thousand Oaks, CA, USA
| | - Ali Khajeh
- Pediatric Department, Zahedan University of Medical Sciences, Zahedan, Iran
| | - Alireza Khosravi
- Department of Neurology, Zahedan University of Medical Sciences, Zahedan, Iran
| | - Afsaneh Mirshekar
- Pediatric Department, Zahedan University of Medical Sciences, Zahedan, Iran
| | - Safoora Masoumi
- Pediatric Department, Zahedan University of Medical Sciences, Zahedan, Iran
| | - Farhad Tabasi
- Faculty of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran
| | - Tania Hassanzadeh
- Department of Neurosurgery, National Skull Base Foundation, Thousand Oaks, CA, USA
| | - Martin M Mortazavi
- Department of Neurosurgery, National Skull Base Foundation, Thousand Oaks, CA, USA
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