Cerebral toxoplasmosis combined with disseminated tuberculosis

Eui Ho Hwang, Poong Gi Ahn, Dongmin Lee, Hyeok Su Kim

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

A 24-year-old man presented with mental change, fever, abdominal pain, tenderness and palpable mass on the lower abdomen. He was a non-Korean engineer and did not accompany a legal guardian, so medical history taking was difficult due to his mental status. Brain magnetic resonance imaging showed multiple rim-enhanced lesions of the brain, and abdominal computed tomography showed huge paraspinal abscess. Chest X-ray and computed tomography showed poorly defined nodular opacities. We initially thought that this patient was infected with toxoplasmosis with typical cerebral image finding and immunoglobulin laboratory finding of cerebrospinal fluid and serum study. The abdominal abscess was confirmed as tuberculosis through the pathologic finding of caseous necrosis. We used anti-tuberculosis medication and anti-toxoplasmosis medication for almost 4 months, and then his clinical state and radiological findings were considerably improved.

Original languageEnglish
Pages (from-to)316-319
Number of pages4
JournalJournal of Korean Neurosurgical Society
Volume51
Issue number5
Publication statusPublished - 2012 Jul 23

Keywords

  • Abdominal abscess
  • Cerebral toxoplasmosis
  • Toxoplasmic encephalitis
  • Tuberculosis

ASJC Scopus subject areas

  • Neuroscience(all)
  • Surgery
  • Clinical Neurology

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