Abstract

Clinical Case Repon Pulmonary Toxoplasmosis in AIDS • · By Maurice Pol ¡car, M.D. had tested one in the immunocomhost is usually manifest¬ promised ed as an infection of the central nervous system (CNS). Disseminated infection with Toxoplasma gondii in AIDS has been described, with some cases having lung involvement as a major feature of the illness. The presentation of pulmonary toxoplasmosis is nonspecific and may resemble that oí Pneumocystis carinii pneumonia (PCP).1 This may cause a delay in appropriate treatment and may be an important factor contributing to the reported high mortality of this disease. Toxoplasmosis treat¬ mata but no organisms ment with antituberculous medications. count was His last CD4 year prior to admission, but had remained asymptomatic until three months earlier when he began to have fevers. A liver biopsy showing granulo- HIV-positive approximately prompted 29/mm3. lymphocyte Report of a Case JG was a 48-year-old homosexual male who presented to the Emergency Depart¬ ment complaining of three weeks of dys¬ pnea which had worsened over the previ¬ ous four days. He also complained of a nonproductive cough and chest pain for four days, but denied any change in the intermittent fevers which he had experi¬ enced