Tissue is the issue: a solitary cerebral lesion 15 years after kidney transplantation

问题在于组织:肾移植15年后出现孤立性脑损伤

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Abstract

Primary toxoplasmosis and reactivation of latent infections occur in solid organ transplant recipients. However, solitary cerebral lesions due to toxoplasmosis are rare. In this case, a patient presented with a haemiparesis and a cerebral lesion. We expected to find cerebral post-transplant lymfoproliferative disorder because of positive Epstein-Barr virus by polymerase chain reaction in cerebrospinal fluid, but histological findings revealed Toxoplasma gondii bradyzoites and tachyzoites, illustrating the necessity of obtaining material for diagnostics in immunocompromised hosts.

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