Myelopathy: an unusual presentation of toxoplasmosis

Central nervous system toxoplasmosis is a well known disease of immunocompromised patients. Neuropathologic examinations have only rarely demonstrated spinal cord involvement. This report describes a fatal case of toxoplasmosis that presented with a subacute myelopathy. Toxoplasmosis should be considered in immuno-compromised patients, including patients with the acquired immune deficiency syndrome, that develop intramedullary lesions of the spinal cord.