title: Unusual presentation of acquired toxoplasmosis in an immunocompetent adult.
abstract: We report an unusual clinical presentation of toxoplasmosis. Fever and headache were the only complaints of a 48-year-old immunocompetent man who was found to have a rash, hepatitis and a pericardial effusion. Lymphadenopathy was not present. Evolving atypical lymphocytosis was the clue to the diagnosis of toxoplasmosis. Undercooked meat was the probable source of infection.
authors: Department of Internal Medicine, Westeinde Hospital, The Hague, Netherlands.
authors: Y W
authors: YW
authors: Sijpkens
authors: R J
authors: RJ
authors: de Knegt
authors: S D
authors: SD
authors: van der Werf
mesh_terms: D000208:Acute Disease; D000913:Antibodies, Protozoan / Q000032:analysis; D006801:Humans; D007121:Immunocompetence; D007075:Immunoglobulin M / Q000032:analysis; D018655:Lymphocyte Count; D008218:Lymphocytosis / Q000209:etiology; D008297:Male; D008875:Middle Aged; D010490:Pericardial Effusion / Q000209:etiology; D014123:Toxoplasmosis / Q000175:diagnosis*
chemical_list: D000913:Antibodies, Protozoan; D007075:Immunoglobulin M