Toxoplasmosis after renal transplantation: implications of a missed diagnosis.
We describe a renal transplant patient with a primary Toxoplasma gondii infection presenting as pneumonitis, with subsequent chorioretinitis and encephalitis. The diagnostic challenges of T. gondii infection in immunocompromised patients are discussed.
Department of Medical Microbiology, Radboud University, Nijmegen Medical Center, Nijmegen, The Netherlands. m.wulf@mmb.umcn.nl
M W H
MW
Wulf
R
R
van Crevel
R
R
Portier
C G
CG
Ter Meulen
W J G
WJ
Melchers
A
A
van der Ven
J M D
JM
Galama
D000818:Animals; D000913:Antibodies, Protozoan / Q000097:blood; D002825:Chorioretinitis / Q000175:diagnosis / Q000469:parasitology; D003951:Diagnostic Errors; D004660:Encephalitis / Q000175:diagnosis / Q000469:parasitology; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D008875:Middle Aged; D011014:Pneumonia / Q000175:diagnosis / Q000469:parasitology; D014122:Toxoplasma / Q000235:genetics / Q000276:immunology / Q000302:isolation & purification; D014123:Toxoplasmosis / Q000175:diagnosis* / Q000469:parasitology / Q000503:physiopathology
D000913:Antibodies, Protozoan