title: [Intramedullary toxoplasmosis in HIV-tuberculosis co-infected patient].
abstract: The most common clinical presentation of Toxoplasma gondii in HIV patients is encephalitis; however, the intramedullary involvement has been reported in a few cases. We report a case of intramedullary toxoplasmosis in a female patient diagnosed with HIV/tuberculosis co-infection, and history of poor adherence to antiretroviral therapy. The patient developed subacute paraparesis with compromise of sensory function and urinary sphincter. The nuclear magnetic resonance evaluation showed a single intramedullary ring-enhanced lesion at the T-8 level which was solved after an anti-Toxoplasma therapy with trimethoprim/sulfamethoxazole.
authors.affiliation: Servicio de Medicina Interna-Infectología, Hospital Guillermo Almenara, Lima, Perú, giancarlo.perez@unmsm.edu.pe.
authors.forename: Giancarlo
authors.initials: G
authors.lastname: Pérez-Lazo
authors.affiliation: Servicio de Medicina Interna-Infectología, Hospital Guillermo Almenara, Lima, Perú, giancarlo.perez@unmsm.edu.pe.
authors.forename: Raúl
authors.initials: R
authors.lastname: Castillo-Córdova
authors.affiliation: Servicio de Medicina Interna-Infectología, Hospital Guillermo Almenara, Lima, Perú, giancarlo.perez@unmsm.edu.pe.
authors.forename: Julio
authors.initials: J
authors.lastname: Maquera-Afaray
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000469:parasitology; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D020808:Central Nervous System Protozoal Infections / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000469:parasitology; D060085:Coinfection; D003907:Dexamethasone / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D013118:Spinal Cord Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000469:parasitology*; D014123:Toxoplasmosis / Q000000981:diagnostic imaging* / Q000188:drug therapy; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use
chemical_list: D000900:Anti-Bacterial Agents; D003907:Dexamethasone; D015662:Trimethoprim, Sulfamethoxazole Drug Combination