Unsuspected Toxoplasma gondii empyema in a bone marrow transplant recipient.
case_report · Level V
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Abstract
Toxoplasma gondii is an opportunistic parasite that can cause severe disease in immunosuppressed individuals. We report a case of unsuspected T. gondii empyema in a bone marrow transplant recipient that was diagnosed by the visualization of numerous intracellular and extracellular tachyzoites in Giemsa- and Gram-stained smears. The patient was treated with pyrimethamine, sulfadiazine, clindamycin, and atovaquone, and she survived 110 days after diagnosis, despite having a large parasite burden.
Medical subject headings
- Empyema
- Opportunistic Infections
- Toxoplasma
- Toxoplasmosis