Polyomyositis and myocarditis associated with acquired toxoplasmosis in an immunocompetent girl
<p>Abstract</p> <p>Background</p> <p>Acquired toxoplasmosis more frequently goes unrecognized. Immunocompetent adults and adolescents with primary infection are generally asymptomatic, but symptoms may include malaise, fever, and lymphadenopathy. By contrast, immunocomp...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2001-11-01
|
| Series: | BMC Musculoskeletal Disorders |
| Online Access: | http://www.biomedcentral.com/1471-2474/2/8 |
| _version_ | 1818759107980558336 |
|---|---|
| author | Tsagkaraki Daria Bitsori Maria Mihailidou Eleni P Paspalaki Penelope K Mantzouranis Eva |
| author_facet | Tsagkaraki Daria Bitsori Maria Mihailidou Eleni P Paspalaki Penelope K Mantzouranis Eva |
| author_sort | Tsagkaraki Daria |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Acquired toxoplasmosis more frequently goes unrecognized. Immunocompetent adults and adolescents with primary infection are generally asymptomatic, but symptoms may include malaise, fever, and lymphadenopathy. By contrast, immunocompromised patients may experience severe manifestations including encephalitis and multisystem organ failure.</p> <p>Case presentation</p> <p>We report a case of polymyositis and myocarditis in a 13-year old immunocompetent girl with toxoplasmosis. The patient presented with proximal muscle weakness, dysphagia, palms and soles rash and elevated serum levels of muscle enzymes, with liver and myocardial involvement. The diagnosis of toxoplasmosis was confirmed by serology. The patient was treated with prednisolone and had an excellent outcome. During a follow-up period of four years no relapses occurred and antibody levels to the <it>T. gondii</it> significantly decreased.</p> <p>Conclusions</p> <p>Although several previous cases of toxoplasmosis occuring in association with polymyositis have been described in the literature such a wide spectrum of acute toxoplasmosis is rather unusual in immunocompetent adolescents. The relationship between <it>T. gondii</it> and polymyositis remains obscure. Appropriate investigation should be performed in every case of polymyositis not only for the appropriate treatment but also for further elucidation of this relationship.</p> |
| first_indexed | 2024-12-18T06:37:28Z |
| format | Article |
| id | doaj.art-23b26f4a730a43448480944ba6411c1e |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-18T06:37:28Z |
| publishDate | 2001-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-23b26f4a730a43448480944ba6411c1e2022-12-21T21:17:44ZengBMCBMC Musculoskeletal Disorders1471-24742001-11-0121810.1186/1471-2474-2-8Polyomyositis and myocarditis associated with acquired toxoplasmosis in an immunocompetent girlTsagkaraki DariaBitsori MariaMihailidou Eleni PPaspalaki Penelope KMantzouranis Eva<p>Abstract</p> <p>Background</p> <p>Acquired toxoplasmosis more frequently goes unrecognized. Immunocompetent adults and adolescents with primary infection are generally asymptomatic, but symptoms may include malaise, fever, and lymphadenopathy. By contrast, immunocompromised patients may experience severe manifestations including encephalitis and multisystem organ failure.</p> <p>Case presentation</p> <p>We report a case of polymyositis and myocarditis in a 13-year old immunocompetent girl with toxoplasmosis. The patient presented with proximal muscle weakness, dysphagia, palms and soles rash and elevated serum levels of muscle enzymes, with liver and myocardial involvement. The diagnosis of toxoplasmosis was confirmed by serology. The patient was treated with prednisolone and had an excellent outcome. During a follow-up period of four years no relapses occurred and antibody levels to the <it>T. gondii</it> significantly decreased.</p> <p>Conclusions</p> <p>Although several previous cases of toxoplasmosis occuring in association with polymyositis have been described in the literature such a wide spectrum of acute toxoplasmosis is rather unusual in immunocompetent adolescents. The relationship between <it>T. gondii</it> and polymyositis remains obscure. Appropriate investigation should be performed in every case of polymyositis not only for the appropriate treatment but also for further elucidation of this relationship.</p>http://www.biomedcentral.com/1471-2474/2/8 |
| spellingShingle | Tsagkaraki Daria Bitsori Maria Mihailidou Eleni P Paspalaki Penelope K Mantzouranis Eva Polyomyositis and myocarditis associated with acquired toxoplasmosis in an immunocompetent girl BMC Musculoskeletal Disorders |
| title | Polyomyositis and myocarditis associated with acquired toxoplasmosis in an immunocompetent girl |
| title_full | Polyomyositis and myocarditis associated with acquired toxoplasmosis in an immunocompetent girl |
| title_fullStr | Polyomyositis and myocarditis associated with acquired toxoplasmosis in an immunocompetent girl |
| title_full_unstemmed | Polyomyositis and myocarditis associated with acquired toxoplasmosis in an immunocompetent girl |
| title_short | Polyomyositis and myocarditis associated with acquired toxoplasmosis in an immunocompetent girl |
| title_sort | polyomyositis and myocarditis associated with acquired toxoplasmosis in an immunocompetent girl |
| url | http://www.biomedcentral.com/1471-2474/2/8 |
| work_keys_str_mv | AT tsagkarakidaria polyomyositisandmyocarditisassociatedwithacquiredtoxoplasmosisinanimmunocompetentgirl AT bitsorimaria polyomyositisandmyocarditisassociatedwithacquiredtoxoplasmosisinanimmunocompetentgirl AT mihailidouelenip polyomyositisandmyocarditisassociatedwithacquiredtoxoplasmosisinanimmunocompetentgirl AT paspalakipenelopek polyomyositisandmyocarditisassociatedwithacquiredtoxoplasmosisinanimmunocompetentgirl AT mantzouraniseva polyomyositisandmyocarditisassociatedwithacquiredtoxoplasmosisinanimmunocompetentgirl |