Open AccessA woman with fever and confusion
Author(s) -
Hsu HungLin,
Lee WeiJing
Publication year - 2023
Publication title -
hong kong journal of emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.145
H-Index - 12
eISSN - 2309-5407
pISSN - 1024-9079
DOI - 10.1177/1024907920976076
Subject(s) - medicine , pathognomonic , confusion , emergency department , computed tomography , radiology , pediatrics , toxoplasmosis , signs and symptoms , surgery , pathology , disease , psychiatry , psychology , psychoanalysis
A 37‐year‐old HIV‐positive woman presented to the emergency department with fever, headache, confusion, and seizures for 3 days. Computed tomography of the head with contrast demonstrated multiple ring‐enhancing masses. An eccentric mural nodule in ring‐enhanced mass characterizes eccentric target sign, which is pathognomonic for cerebral toxoplasmosis. The patient received anti‐toxoplasmic therapy and had marked clinical improvement.