A case of histological diagnosis of Toxoplasma gondii myositis in a person living with HIV

Ilaria De Benedetto, Francesco Biagini, Guido Urbano, Tiziana Enrica Mongini, Ilaria Cassetta, Luca Scaglione, Antonio Curtoni, Guido Calleri, Andrea CALCAGNO, Francesco Giuseppe De Rosa, Silvia Corcione

Risultato della ricerca: Contributo su rivistaArticolo in rivistapeer review

Abstract

: We report the case of a 58-year-old male with a recent diagnosis of HIV infection admitted for progressive muscular weakness and psychomotor impairment. Cerebrospinal examination documented a mild hyperproteinorrachia, with normal cells count and reduced glycorrhachia. Brain gadolinium-enhanced MRI showed bilateral T2 and FLAIR hyperintensities in the nucleo-capsular region and irregular contrast-enhancement of the globi pallidi and the right putamen. The histologic analysis of a quadriceps biopsy showed several foci of inflammatory infiltrates with concomitant muscular fiber atrophy and degeneration. Scattered intracytoplasmic inclusions were observed in muscle fibers, representing the main pathological feature. A positive PCR for Toxoplasma gondii and a Toxoplasma gondii specific monoclonal antibody immunohistochemical staining confirmed the diagnosis.
Lingua originaleInglese
pagine (da-a)407-410
Numero di pagine4
RivistaLE INFEZIONI IN MEDICINA
Volume31
Numero di pubblicazione3
DOI
Stato di pubblicazionePubblicato - 2023

Keywords

  • HIV
  • Toxoplasma gondii
  • intracytoplasmic inclusion
  • muscle
  • myositis

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