Severe Pulmonary Compromise in an Immunocompetent Patient with Acute Disseminated Toxoplasmosis: A Case Report

Compromiso pulmonar severo en paciente inmunocompetente con toxoplasmosis aguda diseminada: reporte de un caso.

Introduction: The acute toxoplasmosis in the immunocompetent patient, unlike of the positive HIV patient, it is characterizes for prolonged fever, lymph node and nonspecific infectious symptoms, generally with benign course and without systemic commitment. This pathology acquired a very importance in the pregnancy people, where the primary infection can to derivate in the congenital transmission of the illness with irreversible sequels in newborn.
Nevertheless, the travel of the people to inhospitable woodsy areas, and the contact with wild-type strain of toxoplasma gondii, to be permitted a new expression of the illness in the immunocompetent patient, with pulmonary, cardiovascular and central nervous system manifestations. They are a high risk for the patient life’s. In this study, one case of severe pulmonary commitment for toxoplasma gondii in immunocompetent patient is review; he is admitted to Internal Medicine Service of the Militar Central Hospital’s in Bogotá. He has a favorable evolution and adequate survival.

Objective: To describe the clinical characteristics and follow-up of one patient with severe pulmonary commitment caused by toxoplasma gondii. 

Materials and methods: The clinical records of the one patient who was hospitalized in the Militar Central Hospital’s in Bogotá was reviewed and described. Afterwards, the existing literature on «Acute toxoplasmosis in immunocompetent patient» was reviewed in PubMed, MDconsult and OVID databases.

Conclusions: The toxoplasma gondii infection‘s in immunocompetent patient generally has a benign course without systemic manifestations; nevertheless, the exposure to wild-type strain can to be related with severe pulmonary commitment.