Features to validate cerebral toxoplasmosis

Introduction Neurotoxoplasmosis (NT) sometimes manifests unusual characteristics. Methods We analyzed 85 patients with NT and AIDS according to clinical, cerebrospinal fluid, cranial magnetic resonance, and polymerase chain reaction (PCR) characteristics. Results In 8.5%, focal neurological defi...

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Main Authors: Carolina da Cunha Correia, Heloisa Ramos Lacerda Melo, Vlaudia Maria Assis Costa, Alessandra Mertens Brainer
Format: Article
Language:English
Published: Sociedade Brasileira de Medicina Tropical (SBMT) 2013-06-01
Series:Revista da Sociedade Brasileira de Medicina Tropical
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822013000300373&lng=en&tlng=en
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author Carolina da Cunha Correia
Heloisa Ramos Lacerda Melo
Vlaudia Maria Assis Costa
Alessandra Mertens Brainer
author_facet Carolina da Cunha Correia
Heloisa Ramos Lacerda Melo
Vlaudia Maria Assis Costa
Alessandra Mertens Brainer
author_sort Carolina da Cunha Correia
collection DOAJ
description Introduction Neurotoxoplasmosis (NT) sometimes manifests unusual characteristics. Methods We analyzed 85 patients with NT and AIDS according to clinical, cerebrospinal fluid, cranial magnetic resonance, and polymerase chain reaction (PCR) characteristics. Results In 8.5%, focal neurological deficits were absent and 16.4% had single cerebral lesions. Increased sensitivity of PCR for Toxoplasma gondii DNA in the central nervous system was associated with pleocytosis and presence of >4 encephalic lesions. Conclusions Patients with NT may present without focal neurological deficit and NT may occur with presence of a single cerebral lesion. Greater numbers of lesions and greater cellularity in cerebrospinal fluid improve the sensitivity of PCR to T gondii.
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spelling doaj.art-08fbc835d9134c5a9d64a415421a0ada2022-12-22T02:27:39ZengSociedade Brasileira de Medicina Tropical (SBMT)Revista da Sociedade Brasileira de Medicina Tropical1678-98492013-06-0146337337610.1590/0037-8682-1202-2013S0037-86822013000300373Features to validate cerebral toxoplasmosisCarolina da Cunha CorreiaHeloisa Ramos Lacerda MeloVlaudia Maria Assis CostaAlessandra Mertens BrainerIntroduction Neurotoxoplasmosis (NT) sometimes manifests unusual characteristics. Methods We analyzed 85 patients with NT and AIDS according to clinical, cerebrospinal fluid, cranial magnetic resonance, and polymerase chain reaction (PCR) characteristics. Results In 8.5%, focal neurological deficits were absent and 16.4% had single cerebral lesions. Increased sensitivity of PCR for Toxoplasma gondii DNA in the central nervous system was associated with pleocytosis and presence of >4 encephalic lesions. Conclusions Patients with NT may present without focal neurological deficit and NT may occur with presence of a single cerebral lesion. Greater numbers of lesions and greater cellularity in cerebrospinal fluid improve the sensitivity of PCR to T gondii.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822013000300373&lng=en&tlng=enAIDSCerebral toxoplasmosisDiagnosis
spellingShingle Carolina da Cunha Correia
Heloisa Ramos Lacerda Melo
Vlaudia Maria Assis Costa
Alessandra Mertens Brainer
Features to validate cerebral toxoplasmosis
Revista da Sociedade Brasileira de Medicina Tropical
AIDS
Cerebral toxoplasmosis
Diagnosis
title Features to validate cerebral toxoplasmosis
title_full Features to validate cerebral toxoplasmosis
title_fullStr Features to validate cerebral toxoplasmosis
title_full_unstemmed Features to validate cerebral toxoplasmosis
title_short Features to validate cerebral toxoplasmosis
title_sort features to validate cerebral toxoplasmosis
topic AIDS
Cerebral toxoplasmosis
Diagnosis
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822013000300373&lng=en&tlng=en
work_keys_str_mv AT carolinadacunhacorreia featurestovalidatecerebraltoxoplasmosis
AT heloisaramoslacerdamelo featurestovalidatecerebraltoxoplasmosis
AT vlaudiamariaassiscosta featurestovalidatecerebraltoxoplasmosis
AT alessandramertensbrainer featurestovalidatecerebraltoxoplasmosis