Department of Medicine, Bir Hospital, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2021 Jan 31;59(233):84-87. doi: 10.31729/jnma.5849.
Toxoplasmosis is an infection caused by the intracellular protozoan Toxoplasma gondii. An acute infection caused by the protozoan is usually asymptomatic but some patients may go into a complicated course. Though it is a common pathogen of immunocompromised states as HIV AIDS, rarely it may present in an immunocompetent host as pneumonia. We report a 38 years old male who presented with fever with respiratory distress associated with inguinal lymphadenopathy and transaminitis. Toxoplasma pneumonia was diagnosed by clinico-radiological and immunological methods. The patient was treated with a specific antimicrobial agent. A high degree of suspicion for the diagnosis and initiation of specific therapy can be lifesaving to the patient that might be rewarding to the treating physicians.
弓形虫病是由细胞内原虫弓形体引起的感染。原虫引起的急性感染通常无症状,但有些患者可能会出现复杂的病程。虽然它是 HIV/AIDS 等免疫功能低下状态的常见病原体,但它很少会在免疫功能正常的宿主中表现为肺炎。我们报告了一例 38 岁男性,他因发热伴呼吸窘迫、腹股沟淋巴结病和转氨酸升高而就诊。通过临床、影像学和免疫学方法诊断为弓形虫肺炎。患者接受了特定的抗菌药物治疗。对诊断的高度怀疑和开始特定的治疗可以挽救患者的生命,这对治疗医生来说也是有益的。