Pérez-Lazo Giancarlo, Castillo-Córdova Raúl, Maquera-Afaray Julio
Servicio de Medicina Interna-Infectología, Hospital Guillermo Almenara, Lima, Perú,
Rev Chilena Infectol. 2017 Feb;34(1):77-80. doi: 10.4067/S0716-10182017000100012.
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.
