Toxoplasmosis in a case with multiple serous effusions and severe aplastic anemia

Abstract Toxoplasmosis, a parasitic disease, can cause fatal multi-organ failure in immunocompromised patients. The lack of specificity in the symptoms and the need to confirm a diagnosis of tachyzoites in fluids or tissues through microscopic examination leads to a delay in reaching a diagnosis. A...

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Main Authors: Xiaoning Wang, Hao Li, Le Ma, Juan Ren, Fatahichegeni Mahsa, Ansarian Mohammad Amin, Jing Zhao, Mei Zhang, Pengcheng He
Format: Article
Language:English
Published: BMC 2024-11-01
Series:BMC Infectious Diseases
Subjects:
Online Access:https://doi.org/10.1186/s12879-024-10249-8
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author Xiaoning Wang
Hao Li
Le Ma
Juan Ren
Fatahichegeni Mahsa
Ansarian Mohammad Amin
Jing Zhao
Mei Zhang
Pengcheng He
author_facet Xiaoning Wang
Hao Li
Le Ma
Juan Ren
Fatahichegeni Mahsa
Ansarian Mohammad Amin
Jing Zhao
Mei Zhang
Pengcheng He
author_sort Xiaoning Wang
collection DOAJ
description Abstract Toxoplasmosis, a parasitic disease, can cause fatal multi-organ failure in immunocompromised patients. The lack of specificity in the symptoms and the need to confirm a diagnosis of tachyzoites in fluids or tissues through microscopic examination leads to a delay in reaching a diagnosis. A 28-year-old woman with severe aplastic anemia received stem cell transplantation seven months ago, presented with fever. Computed Tomography scan and ultrasonography showed moderate pleural, pericardial, peritoneal, and pelvic effusions. Metagenomic next-generation sequencing of blood and alveolar lavage fluid was done, 11,082 and 17,154 sequence readings of Toxoplasma gondii were detected, accounting for 1.34% and 17.09% of genome coverage, respectively. Then, marrow aspirate smears showed Toxoplasma gondii tachyzoites and pseudocyst. This case report alerts clinicians about Toxoplasma gondii infection in stem cell transplantation patients with multiple serous effusions and fever. Clinical trial: Not applicable.
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institution Kabale University
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language English
publishDate 2024-11-01
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series BMC Infectious Diseases
spelling doaj-art-f5ca8eb4b5144da1aa1369a819a2419f2024-12-01T12:11:52ZengBMCBMC Infectious Diseases1471-23342024-11-012411410.1186/s12879-024-10249-8Toxoplasmosis in a case with multiple serous effusions and severe aplastic anemiaXiaoning Wang0Hao Li1Le Ma2Juan Ren3Fatahichegeni Mahsa4Ansarian Mohammad Amin5Jing Zhao6Mei Zhang7Pengcheng He8Department of Hematology, the First Affiliated Hospital of Xi’an Jiaotong UniversityDepartment of Critical Care Medicine, the First Affiliated Hospital of Xi’an Jiaotong UniversityDepartment of Hematology, the First Affiliated Hospital of Xi’an Jiaotong UniversityDepartment of Hematology, the First Affiliated Hospital of Xi’an Jiaotong UniversityMedical College of Xi’an Jiaotong UniversityMedical College of Xi’an Jiaotong UniversityDepartment of Hematology, the First Affiliated Hospital of Xi’an Jiaotong UniversityDepartment of Hematology, the First Affiliated Hospital of Xi’an Jiaotong UniversityDepartment of Hematology, the First Affiliated Hospital of Xi’an Jiaotong UniversityAbstract Toxoplasmosis, a parasitic disease, can cause fatal multi-organ failure in immunocompromised patients. The lack of specificity in the symptoms and the need to confirm a diagnosis of tachyzoites in fluids or tissues through microscopic examination leads to a delay in reaching a diagnosis. A 28-year-old woman with severe aplastic anemia received stem cell transplantation seven months ago, presented with fever. Computed Tomography scan and ultrasonography showed moderate pleural, pericardial, peritoneal, and pelvic effusions. Metagenomic next-generation sequencing of blood and alveolar lavage fluid was done, 11,082 and 17,154 sequence readings of Toxoplasma gondii were detected, accounting for 1.34% and 17.09% of genome coverage, respectively. Then, marrow aspirate smears showed Toxoplasma gondii tachyzoites and pseudocyst. This case report alerts clinicians about Toxoplasma gondii infection in stem cell transplantation patients with multiple serous effusions and fever. Clinical trial: Not applicable.https://doi.org/10.1186/s12879-024-10249-8Toxoplasma gondiiStem cell transplantationMultiple serous effusionsSevere aplastic anemia
spellingShingle Xiaoning Wang
Hao Li
Le Ma
Juan Ren
Fatahichegeni Mahsa
Ansarian Mohammad Amin
Jing Zhao
Mei Zhang
Pengcheng He
Toxoplasmosis in a case with multiple serous effusions and severe aplastic anemia
BMC Infectious Diseases
Toxoplasma gondii
Stem cell transplantation
Multiple serous effusions
Severe aplastic anemia
title Toxoplasmosis in a case with multiple serous effusions and severe aplastic anemia
title_full Toxoplasmosis in a case with multiple serous effusions and severe aplastic anemia
title_fullStr Toxoplasmosis in a case with multiple serous effusions and severe aplastic anemia
title_full_unstemmed Toxoplasmosis in a case with multiple serous effusions and severe aplastic anemia
title_short Toxoplasmosis in a case with multiple serous effusions and severe aplastic anemia
title_sort toxoplasmosis in a case with multiple serous effusions and severe aplastic anemia
topic Toxoplasma gondii
Stem cell transplantation
Multiple serous effusions
Severe aplastic anemia
url https://doi.org/10.1186/s12879-024-10249-8
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