1. Late diagnosis of isolated central diabetes insipidus secondary to congenital toxoplasmosis—case report
- Author
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Tahir Omer, Mustafa Khan, and Thomas Western
- Subjects
Pediatrics ,medicine.medical_specialty ,omcrep/700 ,030209 endocrinology & metabolism ,Case Report ,Microbiology ,Thyroid function tests ,03 medical and health sciences ,0302 clinical medicine ,omcrep/2500 ,Anterior pituitary ,Medicine ,Desmopressin ,0303 health sciences ,medicine.diagnostic_test ,030306 microbiology ,business.industry ,Magnetic resonance imaging ,medicine.disease ,omcrep/1200 ,Infectious Diseases ,medicine.anatomical_structure ,Diabetes insipidus ,Parasitology ,Choroid ,medicine.symptom ,business ,Complication ,AcademicSubjects/MED00010 ,Polydipsia ,hormones, hormone substitutes, and hormone antagonists ,medicine.drug - Abstract
Congenital toxoplasmosis is an uncommon infection. Hypothalamic/pituitary involvement leading to isolated central diabetes insipidus is extremely rare. Making a correct diagnosis of this condition, albeit challenging, is crucial for adequate management. We present a 54-year-old female who developed central diabetes insipidus as a complication of congenital toxoplasmosis. She had polydipsia and hypernatraemia on presentation and responded to intranasal desmopressin with normalization of above-mentioned findings. Magnetic resonance imaging and cranial X-ray’s showed pronounced intracranial calcifications in both choroid plexuses. Thyroid function tests, serum cortisol level and anterior pituitary function were all normal. To the best of our knowledge, this is the first reported case of isolated diabetes insipidus due to congenital toxoplasmosis in literature diagnosed late in adulthood and gives an insight into the challenges of diagnosing central diabetes insipidus and the hypothalamic/pituitary involvement in cases of congenital toxoplasmosis.
- Published
- 2020