Abstract

SUAREZ-RIVERO, Birsy; BELAUNDE-CLAUSELL, Antonio; CARDOSO-GARCIA, Dania  and  PILOTO-CRUZ, Anabel. Clinic in the diagnosis of neurotoxoplasmosis. Rev.Med.Electrón. [online]. 2021, vol.43, n.6, pp. 1738-1746.  Epub Dec 31, 2021. ISSN 1684-1824.

Cerebral toxoplasmosis or neurotoxoplasmosis is one of the most common opportunistic infections in HIV-positive patients. It occurs in approximately 10 % of untreated AIDS patients. The location of the infection, caused by the parasite Toxoplasma gondii, indicates severe immunodeficiency, with CD4+ T lymphocytes less than 100 cell/mm3. The objective of this work was to describe the clinical and imaging evolution of a patient with diagnosis of neurotoxoplasmosis, attended at the Military Hospital Dr. Carlos J. Finlay: 33-year-old man, with focal neurological symptoms, without vascular risk factor, with studies of suggestive imaging of intracranial expansive process. During admission, the HIV positive result is received and interpreted as a neurotoxoplasmosis. Antiparasitic treatment was used with improvement of neurological disorder and neuroimagens. In the case of a patient with HIV and focal neurological symptoms doctors should think about neurotoxoplasmosis. The response to treatment in the case studied confirmed the diagnosis.

Keywords : HIV/AIDS; Toxoplasma gondii; neurotoxoplasmosis.

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