2003
DOI: 10.1080/00365540310017050
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An Unusual Cause of Acute Respiratory Distress in a Patient with AIDS: Primary Infection with Toxoplasma gondii

Abstract: Hypoxemic pneumonia in AIDS patients is mainly caused by Pneumocystis carinii, Toxoplasma gondii and CMV, although the significance of CMV recovery in BALF is often unclear. Since lung involvement generally occurs during reactivation, T. gondii is not expected to be demonstrated in patients without evidence of past infection with this agent. We report a fatal case of pneumonia revealing a T. gondii primary infection diagnosed thanks to the PCR analysis of the BALF.

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Cited by 6 publications
(3 citation statements)
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“…Whereas reactivation of Toxoplasma gondii is rare but not unexpected in AIDS patients, one AIDS patient presented with hypoxemic pneumonia due to primary infection with T. gondii [52]. Toxoplasmic pneumonitis is also a complication of bone marrow transplantation and can result in acute respiratory distress syndrome [53,54].…”
Section: Protozoamentioning
confidence: 99%
“…Whereas reactivation of Toxoplasma gondii is rare but not unexpected in AIDS patients, one AIDS patient presented with hypoxemic pneumonia due to primary infection with T. gondii [52]. Toxoplasmic pneumonitis is also a complication of bone marrow transplantation and can result in acute respiratory distress syndrome [53,54].…”
Section: Protozoamentioning
confidence: 99%
“…Because the lung involvement of parasites often occurs during reactivation, T. gondii cannot be expected in patients without evidence of past infection with this parasite. Charles et al (2003) have reported a fatal case of pneumonia revealing T. gondii primary infection. Therapeutic options include a combination of pyrimethamine and sulfadiazine administered to prevent haematological complications, or the substitution of sulfadiazine by clindamycin.…”
Section: Phylum: Apicomplexamentioning
confidence: 99%
“…The most frequent clinical symptoms are fever, cough, laboured breathing, tachypnoea and dyspnoea, with this latter, in some cases, leading to hypoxaemia with acute respiratory distress syndrome, which is one of the main causes of death among the patients [147][148][149].…”
Section: Genus Toxoplasmamentioning
confidence: 99%