Toxoplasma myocarditis: An atypical case in an immunocompetent patient

Myocarditis occurs with a variety of infectious agents including viruses, bacteria, protozoa and parasites. We present a rare case of myocarditis secondary to Toxoplasma gondii in a 23-year-old immunocompetent male presenting with acute chest pain. Workup revealed evidence of biventricular myocardit...

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Main Authors: Katherine Mustafa, Jonathan Hillyard, Elizabeth Nowak, Jacek Slowikowski, Ijeoma Okogbue, Dorothy Garner
Format: Article
Language:English
Published: Elsevier 2021-01-01
Series:IDCases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214250921002298
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spelling doaj-fe51596a15e745148204d7b212f28ae32021-09-15T04:21:54ZengElsevierIDCases2214-25092021-01-0126e01273Toxoplasma myocarditis: An atypical case in an immunocompetent patientKatherine Mustafa0Jonathan Hillyard1Elizabeth Nowak2Jacek Slowikowski3Ijeoma Okogbue4Dorothy Garner5Corresponding author.; Carilion Clinic, 1906 Bellview Avenue SE, Roanoke, VA 24014, USACarilion Clinic, 1906 Bellview Avenue SE, Roanoke, VA 24014, USACarilion Clinic, 1906 Bellview Avenue SE, Roanoke, VA 24014, USACarilion Clinic, 1906 Bellview Avenue SE, Roanoke, VA 24014, USACarilion Clinic, 1906 Bellview Avenue SE, Roanoke, VA 24014, USACarilion Clinic, 1906 Bellview Avenue SE, Roanoke, VA 24014, USAMyocarditis occurs with a variety of infectious agents including viruses, bacteria, protozoa and parasites. We present a rare case of myocarditis secondary to Toxoplasma gondii in a 23-year-old immunocompetent male presenting with acute chest pain. Workup revealed evidence of biventricular myocarditis on cardiac magnetic resonance imaging, elevated Toxoplasma serologies with rising titers over time. The patient was treated with sulfadiazine and pyrimethamine for eighteen days with resolution of symptoms. This case highlights alternative diagnostic and treatment modalities for Toxoplasma myocarditis in immunocompetent hosts.http://www.sciencedirect.com/science/article/pii/S2214250921002298ToxoplasmosisMyocarditisImmunocompetentCardiac magnetic resonance imaging
collection DOAJ
language English
format Article
sources DOAJ
author Katherine Mustafa
Jonathan Hillyard
Elizabeth Nowak
Jacek Slowikowski
Ijeoma Okogbue
Dorothy Garner
spellingShingle Katherine Mustafa
Jonathan Hillyard
Elizabeth Nowak
Jacek Slowikowski
Ijeoma Okogbue
Dorothy Garner
Toxoplasma myocarditis: An atypical case in an immunocompetent patient
IDCases
Toxoplasmosis
Myocarditis
Immunocompetent
Cardiac magnetic resonance imaging
author_facet Katherine Mustafa
Jonathan Hillyard
Elizabeth Nowak
Jacek Slowikowski
Ijeoma Okogbue
Dorothy Garner
author_sort Katherine Mustafa
title Toxoplasma myocarditis: An atypical case in an immunocompetent patient
title_short Toxoplasma myocarditis: An atypical case in an immunocompetent patient
title_full Toxoplasma myocarditis: An atypical case in an immunocompetent patient
title_fullStr Toxoplasma myocarditis: An atypical case in an immunocompetent patient
title_full_unstemmed Toxoplasma myocarditis: An atypical case in an immunocompetent patient
title_sort toxoplasma myocarditis: an atypical case in an immunocompetent patient
publisher Elsevier
series IDCases
issn 2214-2509
publishDate 2021-01-01
description Myocarditis occurs with a variety of infectious agents including viruses, bacteria, protozoa and parasites. We present a rare case of myocarditis secondary to Toxoplasma gondii in a 23-year-old immunocompetent male presenting with acute chest pain. Workup revealed evidence of biventricular myocarditis on cardiac magnetic resonance imaging, elevated Toxoplasma serologies with rising titers over time. The patient was treated with sulfadiazine and pyrimethamine for eighteen days with resolution of symptoms. This case highlights alternative diagnostic and treatment modalities for Toxoplasma myocarditis in immunocompetent hosts.
topic Toxoplasmosis
Myocarditis
Immunocompetent
Cardiac magnetic resonance imaging
url http://www.sciencedirect.com/science/article/pii/S2214250921002298
work_keys_str_mv AT katherinemustafa toxoplasmamyocarditisanatypicalcaseinanimmunocompetentpatient
AT jonathanhillyard toxoplasmamyocarditisanatypicalcaseinanimmunocompetentpatient
AT elizabethnowak toxoplasmamyocarditisanatypicalcaseinanimmunocompetentpatient
AT jacekslowikowski toxoplasmamyocarditisanatypicalcaseinanimmunocompetentpatient
AT ijeomaokogbue toxoplasmamyocarditisanatypicalcaseinanimmunocompetentpatient
AT dorothygarner toxoplasmamyocarditisanatypicalcaseinanimmunocompetentpatient
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