A cluster of probable primary toxoplasmic lymphadenitis in a Thai family: case reports and a review of the literature

作者：Maharak Chanon; Tongsakul Mingkhwan; Suankratay Chusana^*

来源：Asian Biomedicine, 2015, 9(4): 559-563.

DOI：10.5372/1905-7415.0904.427

• Immunocompetent hosts
• primary toxoplasmosis
• toxoplasma
• toxoplasmic lymphadenitis
• toxoplasmosis

Background: Primary toxoplasmosis is frequently asymptomatic in immunocompetent adults. To our knowledge, a cluster of primary toxoplasmosis in Thailand has not been previously reported.
Objectives: To report a cluster of primary toxoplasmosis in a Thai family.
Methods: Physical examination, complete blood count, liver function tests, blood chemistry, chest radiography, and lymph node histopathology.
Results: A previously healthy 39-year-old man presented with painless bilateral cervical lymphadenopathy for one month. Simultaneously, his 6-year-old son had painless cervical lymphadenopathy. Lymph node histopathology of the man showed the classic triad of characteristics of toxoplasmic lymphadenitis. Both patients were doing well when last seen two months after symptomatic and supportive treatment.
Conclusions: Patients with toxoplasmic lymphadenitis can survive without specific antiparasitic treatment. Normal hosts may have a benign clinical presentation.

• 出版日期2015-8