title: An unusual cause of acute respiratory distress in a patient with AIDS: primary infection with Toxoplasma gondii.
abstract: Hypoxemic pneumonia in AIDS patients is mainly caused by Pneumocystis carinii, Toxoplasma gondii and CMV, although the significance of CMV recovery in BALF is often unclear. Since lung involvement generally occurs during reactivation, T. gondii is not expected to be demonstrated in patients without evidence of past infection with this agent. We report a fatal case of pneumonia revealing a T. gondii primary infection diagnosed thanks to the PCR analysis of the BALF.
authors.affiliation: Service de Reanimation Médicale, Dijon University Hospital, Dijon, France. pierre-emmanuel.charles@chu-dijon.fr
authors.forename: Pierre Emmanuel
authors.initials: PE
authors.lastname: Charles
authors.forename: Jean Marc
authors.initials: JM
authors.lastname: Doise
authors.forename: Jean Pierre
authors.initials: JP
authors.lastname: Quenot
authors.forename: Herve
authors.initials: H
authors.lastname: Aube
authors.forename: Frederic
authors.initials: F
authors.lastname: Dalle
authors.forename: Jean Baptiste
authors.initials: JB
authors.lastname: Bour
authors.forename: Pascal
authors.initials: P
authors.lastname: Chavanet
authors.forename: Bernard
authors.initials: B
authors.lastname: Blettery
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis* / Q000188:drug therapy; D000328:Adult; D000818:Animals; D018450:Disease Progression; D004359:Drug Therapy, Combination; D017809:Fatal Outcome; D006801:Humans; D008174:Lung Diseases, Parasitic / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D012128:Respiratory Distress Syndrome / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D012720:Severity of Illness Index; D014122:Toxoplasma / Q000302:isolation & purification*; D014123:Toxoplasmosis / Q000175:diagnosis* / Q000188:drug therapy