Toxoplasmosis

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  • 50-year-old patient presented with a new diagnosis of HIV with a CD4 count of 50.
  • MRI showed multple large right frontal lesions with peripheral enhancement, diffusion restriction and petechial haemorrhage.
  • With differential diagnosis of lymphoma, the diagnosis of toxoplasmosis was made after a right frontal biopsy.

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  • Patient with a new diagnosis of HIV (CD4 count of <50) presented with headache and right sided weakness.
  • MRI showed many peripherally/irregularly enhancing lesions in both cerebral hemispheres and the cerebellum.
  • Toxoplasma serology was positive.