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Open Access Publications from the University of California

Unusual Presentation of Toxoplasma Gondii Encephalitis

  • Author(s): Davis, Caleb
  • Manteuffel, Jacob
  • et al.

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]

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