Abstract:
:Acquired toxoplasmosis, although relatively common in children, is usually asymptomatic but can also be clinically manifested by a benign and self-limited infectious mononucleosis-like syndrome. Neurological complications are very rare in immunocompetent children. The authors report a 5-year-old boy who presented with cervical lymphadenopathy because of acquired toxoplasmosis accompanied with unilateral facial nerve paralysis. Toxoplasma gondii DNA detection in blood by polymerase chain reaction, as well as elevated specific immunoglobulin M antibodies against it, established the diagnosis. Characteristic brain lesions on magnetic resonance imaging were absent and ophthalmologic examination revealed no inflammatory lesions in the retina and choroid. Treatment with pyrimethamine, sulfadiazine, and folic acid resulted in a complete recovery after 2 months of therapy. Although rare, acute facial nerve paralysis of unknown origin can be caused by acquired toxoplasmosis even in the immunocompetent pediatric population. Elevated titers of specific antibodies and the presence of parasite's DNA are key findings for the correct diagnosis.
journal_name
J Child Neuroljournal_title
Journal of child neurologyauthors
Galli-Tsinopoulou A,Kyrgios I,Giannopoulou EZ,Gourgoulia S,Maggana I,Katechaki E,Chatzidimitriou D,Evangeliou AEdoi
10.1177/0883073810370480subject
Has Abstractpub_date
2010-12-01 00:00:00pages
1525-8issue
12eissn
0883-0738issn
1708-8283pii
25/12/1525journal_volume
25pub_type
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