Is it toxoplasma encephalitis, HIV encephalopathy or brain tuberculoma?
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Updated: May 12, 2026

3-D Imaging and Analysis of Neurons Infected In Vivo with Toxoplasma gondii
Published on: December 9, 2014
Amal Rashad Nimir1, Emilia Osman, Ibrahim Abdel Aziz Ibrahim
1Cyberjaya University College of Medical Sciences, Cyberjaya, Malaysia. aralmadi@yahoo.com
Abstract:
A 31-year-old Malaysian man was presented with an episode of seizures by the roadside, after having been recently diagnosed as HIV positive accompanied with miliary tuberculosis. On physical examination, he was oriented to person, but not to time or place. There was no neck stiffness or papilloedema. The other systemic examination was unremarkable. Chest examination revealed crepitations at the upper zone of the right lung. After diagnosis suspicion, the case was confirmed as toxoplasma encephalitis by MRI and serological tests. Patient was treated with trimethoprim/sulfamethoxazole 480-2400 mg/day with folinic acid supplement for 60 days. Two months later, a repeat brain MRI showed resolution of the cerebral lesions.
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