title: Late presentation of toxoplasmosis in renal transplant recipients.
abstract: Toxoplasma gondii is a rare cause of infection in renal transplant recipients and usually occurs within 3 months of transplantation, this being the period of maximum immunosuppression. We report two cases of toxoplasmosis presenting several years after transplantation. One patient developed Toxoplasma retinitis 4 years after renal transplantation and lost peripheral vision in his affected eye. Another developed cerebral toxoplasmosis 6 years following his second renal transplant but did not survive despite treatment. These cases highlight the need for a high index of suspicion of toxoplasmosis as a potential diagnosis even during the later stages of the post-transplant period as survival is poor without early recognition and treatment.
authors.affiliation: Royal Devon and Exeter Hospital , Barrack Road, Wonford, Exeter, Devon EX2 5DW , UK.
authors.forename: Rhian
authors.initials: R
authors.lastname: Clissold
authors.affiliation: Royal Devon and Exeter Hospital , Barrack Road, Wonford, Exeter, Devon EX2 5DW , UK.
authors.forename: Coralie
authors.initials: C
authors.lastname: Bingham
keywords: renal transplantation; toxoplasmosis