Department of Medicine 1, Christian Medical College, Vellore 632 004, Tamilnadu, India.
Int J Infect Dis. 2013 Nov;17(11):e1067-8. doi: 10.1016/j.ijid.2013.03.024. Epub 2013 May 28.
Disseminated toxoplasmosis presenting as a prolonged febrile illness is rare in immunocompetent individuals. We report a probable case of acquired toxoplasmosis in an immunocompetent woman who presented with fever of 6 months duration with lymphadenopathy and splenomegaly. The diagnosis was confirmed by serology and the presence of Toxoplasma gondii tachyzoites on bone marrow aspirate. The patient was successfully treated with pyrimethamine plus clindamycin.
播散性弓形虫病表现为长期发热在免疫功能正常的个体中较为罕见。我们报告了一例可能的获得性弓形虫病病例，发生于一名免疫功能正常的女性，其表现为持续 6 个月的发热、伴有淋巴结病和脾肿大。该诊断通过血清学和骨髓抽吸物中速殖子的存在得到确认。该患者成功地接受了乙胺嘧啶加克林霉素治疗。
