Dávila Victoria, Roncancio-Villamil Gustavo, Correa Luis Alfonso, Restrepo Catalina, Madrid Camilo Alberto, González Javier Mauricio
Servicio de Enfermedades Infecciosas, Clínica Cardio VID, Medellín, Colombia.
Biomedica. 2017 Sep 1;37(3):303-307. doi: 10.7705/biomedica.v37i3.3189.
We report the case of a 61 year-old male who underwent heart transplantation eight months before developing a systemic condition with central nervous system, lung, kidney, colonic, cutaneous, and hematologic involvement, found to be secondary to a systemic toxoplasmosis despite co-trimoxazole prophylaxis in a previous-to-transplant seronegative patient receiving a heart from a seropositive donor. A review of prophylactic options in our environment is discussed.
我们报告了一例61岁男性病例，该患者在心脏移植八个月后出现累及中枢神经系统、肺、肾、结肠、皮肤和血液系统的全身性疾病，尽管在移植前血清学阴性的患者接受来自血清学阳性供体的心脏时使用了复方新诺明预防，但仍发现该疾病继发于全身性弓形虫病。本文讨论了我们环境中预防方案的综述。
