RESUMO
We present the case of a 72-year-old immunocompetent patient from Chocó, Colombia, with a 12-day course of fever, headache, progressive neurological deterioration, and rapid evolution to multiorgan failure and death. In the histopathological study of tissues obtained at necropsy, tissue cysts morphologically suggestive of being bradyzoites of Toxoplasma gondii were identified and confirmed by immunohistochemistry in heart, brain, and striated muscle.
Assuntos
Toxoplasmose/complicações , Doença Aguda , Idoso , Colômbia/epidemiologia , Evolução Fatal , Feminino , Coração/parasitologia , Humanos , Hidrocefalia/etiologia , Imunocompetência , Insuficiência de Múltiplos Órgãos/etiologia , Tomografia Computadorizada por Raios X , Toxoplasma/isolamento & purificação , Toxoplasmose/diagnóstico , Toxoplasmose/diagnóstico por imagem , Toxoplasmose Cerebral/diagnóstico por imagemRESUMO
Se presenta el caso de una paciente inmunocompetente de 72 años de edad, proveniente del departamento del Chocó, con un cuadro clínico de 12 días de fiebre, cefalea, deterioro neurológico progresivo y rápida evolución a falla orgánica múltiple y muerte. En el estudio histopatológico de los tejidos obtenidos en la necropsia, se identificaron quistes tisulares morfológicamente sugestivos de ser bradizoítos de Toxoplasma gondii, lo que se confirmó mediante inmunohistoquímica en corazón, cerebro y músculo estriado.
We present the case of a 72-year-old immunocompetent patient from Chocó, Colombia, with a 12-day course of fever, headache, progressive neurological deterioration, and rapid evolution to multiorgan failure and death. In the histopathological study of tissues obtained at necropsy, tissue cysts morphologically suggestive of being bradyzoites of Toxoplasma gondii were identified and confirmed by immunohistochemistry in heart, brain, and striated muscle.