title: Tissue is the issue: a solitary cerebral lesion 15 years after kidney transplantation.
abstract: Primary toxoplasmosis and reactivation of latent infections occur in solid organ transplant recipients. However, solitary cerebral lesions due to toxoplasmosis are rare. In this case, a patient presented with a haemiparesis and a cerebral lesion. We expected to find cerebral post-transplant lymfoproliferative disorder because of positive Epstein-Barr virus by polymerase chain reaction in cerebrospinal fluid, but histological findings revealed Toxoplasma gondii bradyzoites and tachyzoites, illustrating the necessity of obtaining material for diagnostics in immunocompromised hosts.
authors.affiliation: Department of Internal Medicine, Division Nephrology, University Medical Center Groningen, Groningen, The Netherlands.
authors.forename: Anoek A E
authors.initials: AA
authors.lastname: de Joode
authors.affiliation: Department of Medical Microbiology, University Medical Center Groningen, Groningen, The Netherlands.
authors.forename: Annelies
authors.initials: A
authors.lastname: Riezebos-Brilman
authors.affiliation: Department of Medical Microbiology, University Medical Center Groningen, Groningen, The Netherlands.
authors.forename: Willem L
authors.initials: WL
authors.lastname: Manson
authors.affiliation: Department of Internal Medicine, Division Nephrology, University Medical Center Groningen, Groningen, The Netherlands.
authors.forename: Jaap J
authors.initials: JJ
authors.lastname: Homan van der Heide
keywords: EBV; PTLD; brain abscess; toxoplasmosis; transplantation