Skip to main content

Advertisement

SpringerLink
Log in

Acquired toxoplasmosis presenting with a brainstem granuloma in an immunocompetent adolescent

  • Case Report
  • Published:
Indian Pediatrics Aims and scope Submit manuscript

Abstract

Background

Toxoplasmosis is an uncommon disease in immunocompetent people.

Case characteristics

We report an adolescent boy with central nervous system toxoplasmosis who presented with progressive lower cranial nerve palsies and a ring-enhancing lesion on neuroimaging.

Intervention

Diagnosis of toxoplasmosis was confirmed on histopathology of the excised lesion.

Message

Toxoplasmosis should be considered in the differential diagnosis of focal brain lesions irrespective of immune status.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Montoya JG, Remington JS. Toxoplasma gondii. In: Mandell GL, Douglas RG, Bennett JE, Dolin R, editors. Principles and Practice of Infectious Diseases, 5th ed. Philadelphia: Churchill Livingstone; 2000. p. 2858–88.

    Google Scholar 

  2. Kasper LH. Toxoplasma infection. In: Kasper DL, Braunwald E, Fauci AS, Hauser SL, Longo D, editors. Harrison’s Principles of Internal Medicine, 16th ed. New York: McGraw-Hill; 2005. p. 1243–8.

    Google Scholar 

  3. Daras M, Koppel BS, Samkoff L, Marc J. Brainstem toxoplasmosis in patients with acquired immunodeficiency syndrome. J Neuroimag. 1994;4:85–90.

    Article  CAS  Google Scholar 

  4. Alper G, Zuccoli SG. Isolated brain stem lesion in children: Is it acute disseminated encephalomyelitis or not? Am J Neurorad. 2012;10.3174.

    Google Scholar 

  5. Gupta A, Raja A, Mahadevan A, Shankar SK. Toxoplasma granuloma of brainstem: A rare case. Neurol India. 2008;56;189–91.

    Article  PubMed  Google Scholar 

  6. Galli-Tsinopoulou A, Kyrgios I, Giannopoulou EZ, Gourgoulia S, Maggana I, Katechaki E, et.al. Acquired toxoplasmosis accompanied by facial nerve palsy in an immunocompetent 5-year-old child. J Child Neurol. 2010;25:1525.

    Article  PubMed  Google Scholar 

  7. Liesenfeld O, Wong SY, Remington JS. Toxoplasmosis. In: Goldmann L, Bennett JC, editors. Cecil Textbook of Medicine. 22 nd ed. Philadelphia PA, USA: W.B. Saunders; 2004. p. 2088–91.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Pediatric Intensive Care, Kanchi Kamakoti CHILDS Trust Hospital and CHILDS Trust Medical Research Foundation (CTMRF), 12A, Nageswara Road, Nungambakkam, Chennai, 600 034, India

    Nitin Manwani & K. Ravikumar

  2. Department of Pediatric Neurology, Kanchi Kamakoti CHILDS Trust Hospital and CHILDS Trust Medical Research Foundation (CTMRF), Chennai, India

    V. Viswanathan

  3. Department of Pediatric Neurosurgery, Kanchi Kamakoti CHILDS Trust Hospital and CHILDS Trust Medical Research Foundation (CTMRF), Chennai, India

    Santosh Mohan Rao

  4. Department of Neuropathology, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, India

    Anita Mahadevan

Authors
  1. Nitin Manwani
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. K. Ravikumar
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. V. Viswanathan
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Santosh Mohan Rao
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Anita Mahadevan
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Nitin Manwani.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Manwani, N., Ravikumar, K., Viswanathan, V. et al. Acquired toxoplasmosis presenting with a brainstem granuloma in an immunocompetent adolescent. Indian Pediatr 53, 159–161 (2016). https://doi.org/10.1007/s13312-016-0813-4

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13312-016-0813-4

Keywords

Search

Navigation