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Disseminated toxoplasmosis after hematopoietic stem cell transplantation showing unusual magnetic resonance images
Author(s) -
Tateno Takahiro,
Onozawa Masahiro,
Hashiguchi Junichi,
Ishio Takashi,
Yuzawa Sayaka,
Matsuoka Satomi,
KosugiKanaya Mizuha,
Okada Kohei,
Shiratori Souichi,
Goto Hideki,
Kimura Taichi,
Sugita Junichi,
Nakagawa Masao,
Hashimoto Daigo,
Kahata Kaoru,
Fujimoto Katsuya,
Endo Tomoyuki,
Kondo Takeshi,
Tanaka Shinya,
Hashino Satoshi,
Teshima Takanori
Publication year - 2017
Publication title -
transplant infectious disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.69
H-Index - 67
eISSN - 1399-3062
pISSN - 1398-2273
DOI - 10.1111/tid.12720
Subject(s) - medicine , magnetic resonance imaging , pathology , parkinsonism , basal ganglia , transplantation , toxoplasmosis , stem cell , central nervous system , radiology , disease , surgery , biology , genetics
We herein report a patient who had disseminated toxoplasmosis after hematopoietic stem cell transplantation showing atypical clinical presentation and neuroimaging. Parkinsonism symptoms such as muscle rigidity, bradykinesia, tremor, and postural instability were initial manifestations. Magnetic resonance imaging showed diffuse symmetrical lesions of bilateral basal ganglia lacking ringed enhancement. Post‐mortem analysis revealed multiple tachyzoites of T oxoplasma gondii in the basal ganglia, mid brain, cerebellum, and cardiac muscle.