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Case Reports
. 2002 May 1;34(9):e37-9.
doi: 10.1086/339960. Epub 2002 Apr 3.

Unsuspected Toxoplasma gondii empyema in a bone marrow transplant recipient

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Case Reports

Unsuspected Toxoplasma gondii empyema in a bone marrow transplant recipient

Maria Agnes Dawis et al. Clin Infect Dis. .

Abstract

Toxoplasma gondii is an opportunistic parasite that can cause severe disease in immunosuppressed individuals. We report a case of unsuspected T. gondii empyema in a bone marrow transplant recipient that was diagnosed by the visualization of numerous intracellular and extracellular tachyzoites in Giemsa- and Gram-stained smears. The patient was treated with pyrimethamine, sulfadiazine, clindamycin, and atovaquone, and she survived 110 days after diagnosis, despite having a large parasite burden.

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