title: Toxoplasma gondii pneumonitis in patients infected with the human immunodeficiency virus.
abstract: Pulmonary toxoplasmosis is a rarely recognized opportunistic infection in immunocompromised patients. A few case reports have described pulmonary toxoplasmosis in human immunodeficiency virus-infected patients in association with Toxoplasma gondii central nervous system disease. We encountered six cases of pulmonary toxoplasmosis in human immunodeficiency virus-infected patients who presented with a protracted febrile illness, respiratory symptoms, and an abnormal chest roentgenogram in the absence of neurologic findings. No clinical or roentgenographic features distinguished T gondii pneumonitis from more common opportunistic pulmonary infections. As the acquired immunodeficiency syndrome epidemic progresses, the presenting illnesses have evolved. Toxoplasma gondii must be considered a potential cause of pulmonary disease during the evaluation of human immunodeficiency virus-infected patients with respiratory symptoms.
authors.affiliation: Medical Service, San Francisco General Hospital Medical Center, University of California 94110.
authors.forename: L M
authors.initials: LM
authors.lastname: Schnapp
authors.forename: S M
authors.initials: SM
authors.lastname: Geaghan
authors.forename: A
authors.initials: A
authors.lastname: Campagna
authors.forename: J
authors.initials: J
authors.lastname: Fahy
authors.forename: D
authors.initials: D
authors.lastname: Steiger
authors.forename: V
authors.initials: V
authors.lastname: Ng
authors.forename: W K
authors.initials: WK
authors.lastname: Hadley
authors.forename: P C
authors.initials: PC
authors.lastname: Hopewell
authors.forename: J D
authors.initials: JD
authors.lastname: Stansell
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000328:Adult; D001992:Bronchoalveolar Lavage Fluid / Q000469:parasitology; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009894:Opportunistic Infections / Q000150:complications* / Q000175:diagnosis; D011014:Pneumonia / Q000175:diagnosis / Q000469:parasitology*; D011020:Pneumonia, Pneumocystis / Q000453:epidemiology; D014123:Toxoplasmosis / Q000150:complications* / Q000175:diagnosis / Q000453:epidemiology