Document Detail


Cerebral toxoplasmosis in an allogeneic peripheral stem cell transplant recipient: case report and review of literature.
MedLine Citation:
PMID:  17428279     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present a patient who underwent allogeneic peripheral stem cell transplantation (PSCT) for chronic myelocytic leukemia. Twenty months after the PSCT he experienced status epilepticus. Magnetic resonance imaging (MRI) revealed a focus in the ventral thalamus-hypothalamus region. Using stereotactic biopsy with histology and specific polymerase chain reaction investigation from brain tissue, cerebral toxoplasmosis was diagnosed and treated with antiparasitic therapy. Early recognition of such serious and potentially lethal disease enabled prompt specific treatment. This case report emphasizes the role of stereotactic biopsy in diagnosis of cerebral toxoplasmosis. Other methods such as MRI are non-invasive but not sufficiently specific and sensitive.
Authors:
L Cibickova; J Horacek; P Prasil; L Slovacek; A Kohout; V Cerovsky; V Hobza
Related Documents :
19787719 - Improving dynamic susceptibility contrast mri measurement of quantitative cerebral bloo...
15295399 - Postpartum cerebral angiopathy: an important diagnostic consideration in the postpartum...
16075409 - Comparison of perfusion mri by flow-sensitive alternating inversion recovery and dynami...
6967879 - Positive contrast ventriculography combined with computed tomography: technique and app...
10748359 - Cerebral function after aortic surgery using retrograde cerebral perfusion: report of t...
3715939 - Ct enhancement after prolonged high-dose contrast infusion in the early stage of cerebr...
8929309 - Technetium-99m tetrofosmin imaging in thyroid diseases: comparison with tc-99m-pertechn...
8085289 - Ultrasound contrast agents: a review.
7824709 - Normal pelvic lymph nodes: evaluation with ct after bipedal lymphangiography.
Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't; Review     Date:  2007-04-11
Journal Detail:
Title:  Transplant infectious disease : an official journal of the Transplantation Society     Volume:  9     ISSN:  1398-2273     ISO Abbreviation:  Transpl Infect Dis     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-11-07     Completed Date:  2008-01-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883688     Medline TA:  Transpl Infect Dis     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  332-5     Citation Subset:  IM    
Affiliation:
2nd Department of Medicine, Charles University in Prague, Faculty of Medicine in Hradec Kralove and University Hospital in Hradec Kralove, Czech Republic. cibickova@seznam.cz
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Animals
Antiprotozoal Agents / therapeutic use
Biopsy
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Peripheral Blood Stem Cell Transplantation / adverse effects*
Polymerase Chain Reaction
Stereotaxic Techniques
Thalamus / radiography
Toxoplasma / genetics,  isolation & purification
Toxoplasmosis, Cerebral / diagnosis*,  drug therapy,  radiography
Transplantation, Homologous / adverse effects*
Chemical
Reg. No./Substance:
0/Antiprotozoal Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Blastomycosis in solid organ transplant recipients.
Next Document:  Case of Staphylococcus schleiferi subspecies coagulans endocarditis and metastatic infection in an i...