Premium
Toxoplasma gondii –induced brachial plexus neuropathy after allogeneic hematopoietic stem cell transplantation
Author(s) -
De Clercq Jozefien,
Crevits Ilse,
Reynders Marijke,
Deeren Dries
Publication year - 2019
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.13157
Subject(s) - medicine , brachial plexus , toxoplasma gondii , hematopoietic stem cell transplantation , transplantation , myeloid leukemia , surgery , pathology , gastroenterology , immunology , antibody
Brachial plexus neuropathy is a rare, but underdiagnosed condition, characterized by intense analgesic‐resistant shoulder pain, followed by brachial plexus paresis and sensory symptoms. We present a case of brachial plexus neuropathy, induced by Toxoplasma gondii (T. gondii) 17 days after allogeneic hematopoietic stem cell transplantation (alloHSCT) in a patient with acute myeloid leukemia. The diagnosis was made based on the clinical presentation, magnetic resonance imaging (MRI) of the brachial plexus, and positive T. gondii polymerase chain reaction (PCR) in cerebrospinal fluid. The patient was treated with pyrimethamine, sulfadiazine, and levofolinic acid during 6 weeks, with a positive outcome.