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免疫功能正常者的神经型弓形虫病:一种罕见情况。

Neurotoxoplasmosis in the Immunocompetent: A Rare Occurrence.

作者信息

Khalid Saad, Memon Shehzeen F, Jumani Laraib, Memon Shahzeb A, Siddiqui Mishal S

机构信息

Department of Medicine, Dow University of Health Sciences, Civil Hospital Karachi, Karachi, PAK.

Department of Neurology, Dow University of Health Sciences, Civil Hospital Karachi, Karachi, PAK.

出版信息

Cureus. 2023 Mar 28;15(3):e36782. doi: 10.7759/cureus.36782. eCollection 2023 Mar.

Abstract

Cerebral toxoplasmosis is a rare condition that predominantly affects immunocompromised people and is relatively uncommon in immunocompetent individuals. Acute toxoplasmosis primarily presents with focal and diffuse neurological signs and symptoms depending on the site of the lesion, the degree of local damage, and the severity of inflammation. In this report, we present a case of cerebral toxoplasmosis in an immunocompetent adult female who presented with an altered level of consciousness, fever, headache, and shortness of breath. This case highlights the diagnostic challenges that may arise when dealing with patients who have a wide range of clinical manifestations.

摘要

脑弓形虫病是一种罕见疾病,主要影响免疫功能低下者,在免疫功能正常个体中相对不常见。急性弓形虫病主要根据病变部位、局部损伤程度和炎症严重程度,表现为局灶性和弥漫性神经体征及症状。在本报告中,我们介绍了一例免疫功能正常的成年女性脑弓形虫病病例,该患者出现意识水平改变、发热、头痛和呼吸急促。该病例突出了在处理具有广泛临床表现的患者时可能出现的诊断挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce25/10134001/6a2fb37b6887/cureus-0015-00000036782-i01.jpg

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