Cerebral toxoplasmosis - a late complication of allogeneic haematopoietic stem cell transplantation

Bone Marrow Transplant. 1999 Dec;24(12):1363-5. doi: 10.1038/sj.bmt.1702075.

Abstract

Toxoplasma gondii infection reactivation predominantly occurs among patients after allogeneic haematopoietic stem cell transplantation. Mostly, reactivation occurs during first 3 months after transplant, especially when risk factors are present. We report a case of late cerebral toxoplasmosis reactivation, which was probably triggered by a brief course of corticosteroids, administered for chronic graft-versus-host disease (cGVHD). In the presence of risk factors, such as cGVHD, prophylactic treatment for toxoplasmosis should be reinstituted; Trimethoprim-sulfamethoxasole most probably prevented earlier reactivation of toxoplasmosis in our patient.

Publication types

  • Case Reports

MeSH terms

  • Adrenal Cortex Hormones / adverse effects
  • Adrenal Cortex Hormones / therapeutic use
  • Adult
  • Animals
  • Female
  • Graft vs Host Disease / drug therapy
  • Hematopoietic Stem Cell Transplantation / adverse effects*
  • Humans
  • Sulfamethoxazole / therapeutic use
  • Toxoplasmosis, Cerebral / blood
  • Toxoplasmosis, Cerebral / etiology*
  • Transplantation, Homologous / adverse effects
  • Trimethoprim / therapeutic use

Substances

  • Adrenal Cortex Hormones
  • Trimethoprim
  • Sulfamethoxazole