title: Disseminated toxoplasmosis presenting as septic shock five weeks after renal transplantation.
abstract: We discuss a case of acute disseminated toxoplasmosis in a renal transplant recipient presenting with septic shock. Our literature review of disseminated toxoplasmosis presenting as septic shock reveals a disease process that is rapid and almost uniformly fatal. This unusual presentation warrants a high index of suspicion in transplant recipients with immediate administration of appropriate empiric antimicrobials.
authors.affiliation: Division of Infectious Diseases, Virginia Commonwealth University Health System, Richmond, Virginia 23298, USA. lbvaughan@mcvh-vcu.edu
authors.forename: L B
authors.initials: LB
authors.lastname: Vaughan
authors.forename: R P
authors.initials: RP
authors.lastname: Wenzel
mesh_terms: D001741:Black or African American; D017809:Fatal Outcome; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D012772:Shock, Septic / Q000175:diagnosis* / Q000469:parasitology; D013997:Time Factors; D014122:Toxoplasma / Q000302:isolation & purification*; D014123:Toxoplasmosis / Q000175:diagnosis* / Q000209:etiology