Back to Search
Start Over
[Toxoplasmic encephalitis and cytomegaloviral retinitis in a non-AIDS patient with chronic renal failure undergoing corticosteroid therapy]
- Source :
- Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases. 83(5)
- Publication Year :
- 2009
-
Abstract
- We report a rare case of toxoplasmic encephalitis in a non-AIDS patient A 62-year-old man undergoing hemodialysis for seven months and corticosteroid therapy for rapidly progressive glomerulonephritis and admitted for generalized convulsions was found in cranial magnetic resonance imaging (MRI) to have multiple ring-enhanced lesions. Antibodies against Toxoplasma gondii, and in Sabin-Feldman dye test were extremely high, yielding a diagnosis of toxoplasmic encephalitis. He was also diagnosed as having cytomegaloviral retinitis. Anti-HIV antibody was negative. Treatment with pyrimethamine and clindamycin was effective and intracerebral lesions disappeared. Physicians encounting a similar situation should consider toxoplasmic encephalitis as a differential diagnosis, even in non-HIV patients, and implement confirmational examination.
- Subjects :
- Male
Pediatrics
medicine.medical_specialty
medicine.medical_treatment
Diagnosis, Differential
Adrenal Cortex Hormones
parasitic diseases
medicine
Rapidly progressive glomerulonephritis
Humans
medicine.diagnostic_test
biology
business.industry
Toxoplasma gondii
Magnetic resonance imaging
General Medicine
Middle Aged
medicine.disease
biology.organism_classification
Virology
Toxoplasmosis
Toxoplasmosis, Cerebral
Cytomegalovirus Retinitis
Encephalitis
Kidney Failure, Chronic
Hemodialysis
Cytomegalovirus retinitis
Differential diagnosis
business
Subjects
Details
- ISSN :
- 03875911
- Volume :
- 83
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Kansenshogaku zasshi. The Journal of the Japanese Association for Infectious Diseases
- Accession number :
- edsair.doi.dedup.....ddce47b84f5ad8c4272e7908a82a38ac