Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
Unusual Presentation of Toxoplasma Gondii Encephalitis
- Author(s): Davis, Caleb
- Manteuffel, Jacob
- et al.
Published Web Locationhttps://doi.org/10.5811/westjem.2012.4.12178
We report a case of altered mental status secondary to acute Toxoplasma Gondii encephalitis. The patient had no medical or surgical history and presented with acute onset of lethargy with no clear precipitant. A physical exam revealed no focal neurological deficits and a subsequent medicalworkup revealed multiple intracranial lesions with a biopsy confirming the diagnosis of Toxoplasma Gondii encephalitis in the setting of newly diagnosed human immunodeficiency virus (HIV). A literature review revealed that this is a unique case of toxoplasmic encephalopathy in the United States in a previously undiagnosed HIV positive patient presenting to an emergency department. [West J Emerg Med. 2012;13(6):488-490]