Tolat D, Kim H S
Tex Med. 1989 Jul;85(7):40-2.
Central nervous system (CNS) infection by Toxoplasma gondii is not uncommon in patients with acquired immunodeficiency syndrome (AIDS). Extraneural toxoplasmosis has been reported in the heart, lungs, testes, and skin of AIDS patients with concurrent CNS toxoplasmosis. Toxoplasma myocarditis is rare even in AIDS patients, except in Haitians. We report the case of a homosexual white man with positive HIV serology who presented with neurological complaints. A diagnosis of toxoplasmosis was not established before death, but at autopsy the patient had cerebral toxoplasmosis and Toxoplasma myocarditis.
在获得性免疫缺陷综合征(AIDS)患者中,弓形虫引起的中枢神经系统(CNS)感染并不少见。已有报道称,合并中枢神经系统弓形虫病的艾滋病患者的心脏、肺、睾丸和皮肤会出现神经外弓形虫病。即使在艾滋病患者中,弓形虫心肌炎也很罕见,海地人除外。我们报告了一例HIV血清学阳性的同性恋白人男子,他出现了神经系统症状。生前未确诊为弓形虫病,但尸检发现该患者患有脑弓形虫病和弓形虫心肌炎。