title: Disseminated toxoplasmosis in an immunocompetent patient from Peruvian Amazon.
abstract: We report a case of severe toxoplasmosis in an immunocompetent patient, characterized by pneumonia, retinochoroiditis, hepatitis and myositis. Diagnosis was confirmed by serology, T. gondii in thick blood smear and presence of bradyzoites in muscle biopsy. Treatment with pyrimethamine plus sulfadoxine was successful but visual acuity and hip extension were partially recovered. This is the first case report of severe toxoplasmosis in an immunocompetent patient from Peru.
authors.affiliation: Ministerio de Salud, Lima, Perú
authors.forename: Juan
authors.initials: J
authors.lastname: Nunura
authors.forename: Tania
authors.initials: T
authors.lastname: Vásquez
authors.forename: Sergio
authors.initials: S
authors.lastname: Endo
authors.forename: Daniela
authors.initials: D
authors.lastname: Salazar
authors.forename: Alejandrina
authors.initials: A
authors.lastname: Rodriguez
authors.forename: Sonia
authors.initials: S
authors.lastname: Pereyra
authors.forename: Hilda
authors.initials: H
authors.lastname: Solis
mesh_terms: D000328:Adult; D000981:Antiprotozoal Agents / Q000627:therapeutic use; D006801:Humans; D007121:Immunocompetence; D008297:Male; D010568:Peru; D011739:Pyrimethamine / Q000627:therapeutic use; D012720:Severity of Illness Index; D013413:Sulfadoxine / Q000627:therapeutic use; D014122:Toxoplasma / Q000302:isolation & purification*; D014123:Toxoplasmosis / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology
chemical_list: D000981:Antiprotozoal Agents; D013413:Sulfadoxine; D011739:Pyrimethamine