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Updated: Apr 28, 2026

Murine Heterotopic Heart Transplant Technique
Published on: July 8, 2014
Toxoplasmic encephalitis associated with meningitis in a heart transplant recipient
C Baliu1, G Sanclemente, M Cardona
1Department of Infectious Diseases, Hospital Clinic de Barcelona - University of Barcelona, Barcelona, Spain.
Abstract:
Toxoplasma gondii is an opportunistic pathogen that causes neurologic and extraneurologic manifestations in immunosuppressed patients. Encephalitis and intracranial mass lesions are easily recognized as typical manifestations of toxoplasmosis. However, meningitis caused by T. gondii is a rare condition with very few cases described in the literature. We present the case of a heart transplant recipient who developed toxoplasmic encephalitis associated with meningitis. After an extensive review of the medical literature, we found only 1 case of meningitis in solid organ transplant recipients and <25 cases in immunosuppressed patients, such as patients infected with human immunodeficiency virus or those with Hodgkin's disease. In this report, we consider toxoplasmosis in the differential diagnosis of meningitis in immunocompromised individuals.
Insights
Toxoplasma gondii can cause rare meningitis in immunocompromised patients, even after heart transplants. This case highlights the importance of considering toxoplasmosis in meningitis differential diagnoses for these vulnerable individuals.
Area of Science:
- Infectious Diseases
- Neurology
- Immunology
Background:
- Toxoplasma gondii is an opportunistic pathogen.
- Immunosuppressed patients are at risk for toxoplasmosis.
- Neurologic manifestations like encephalitis are common, but meningitis is rare.
Observation:
- A heart transplant recipient developed toxoplasmic encephalitis and meningitis.
- Literature review revealed very few cases of T. gondii meningitis in solid organ transplant recipients and other immunosuppressed patients.
Findings:
- Toxoplasmic meningitis is an exceptionally rare complication of T. gondii infection.
- This case adds to the limited understanding of T. gondii meningitis in transplant recipients.
Implications:
- Clinicians should consider toxoplasmosis in the differential diagnosis of meningitis in immunocompromised individuals.
- Early recognition and treatment of toxoplasmosis are crucial for better patient outcomes.
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