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toxoplasmosis
ICD-10 Codes
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Description
Toxoplasmosis is an infection caused by a parasite called Toxoplasma gondii (T. gondii). This parasite reproduces in the intestinal tracts of cats, but can also infect humans and other warm-blooded animals [3][4].
The symptoms of toxoplasmosis vary depending on the severity of the infection. In most people, the infection will have no symptoms at all [6]. However, some individuals may experience flu-like symptoms, swollen lymph nodes, and muscle aches [6].
In severe cases, toxoplasmosis can cause more serious problems, including blurred vision, confusion, and loss of coordination [2]. These symptoms require immediate medical care.
Toxoplasmosis is a common infection that can be caught from the feces of infected cats or through contaminated meat [8][9]. It's usually harmless but can cause serious issues in people with weakened immune systems.
Additional Characteristics
- Infection caused by parasite Toxoplasma gondii (T. gondii)
- Parasite reproduces in intestinal tracts of cats
- Can infect humans and other warm-blooded animals
- Symptoms vary depending on severity of infection
- No symptoms in most people
- Flu-like symptoms, swollen lymph nodes, muscle aches
- Blurred vision, confusion, loss of coordination in severe cases
- Commonly caught from infected cat feces or contaminated meat
- Usually harmless but can cause serious issues in those with weakened immune systems
Signs and Symptoms
Toxoplasmosis can manifest in various ways, depending on the individual's immune system and the severity of the infection.
Common symptoms
- Fever [6]
- Swollen glands (lymph nodes) [6]
- Body aches [6]
- Headache [6]
- Tiredness [6]
Severe symptoms
- Blurred vision or reduced vision, with possible floaters in the eyes [8]
- Sensitivity to light
- Eye redness and pain
- Tearing
Symptoms in immunocompromised individuals
- Fever [4]
- Confusion [4]
- Headache [4]
- Seizures [4]
- Nausea [4]
- Poor coordination [4]
Rare symptoms
- Ocular toxoplasmosis, which can cause damage to the eyes and vision loss [3]
It's worth noting that most people who become infected with Toxoplasma have no symptoms at all. However, if symptoms do occur, they can range from mild to severe and may require immediate medical attention.
References: [1] Not applicable [2] Not applicable [3] context #3 [4] context #4 [5] Not applicable [6] context #6 [7] Not applicable [8] context #8
Diagnostic Tests
Diagnostic Tests for Toxoplasmosis
Toxoplasmosis, a parasitic infection caused by the protozoan Toxoplasma gondii, can be diagnosed using various laboratory tests. The diagnosis is based on detecting specific antibodies or the parasite itself in the blood or other bodily fluids.
Blood Tests
- Blood tests are commonly used to diagnose toxoplasmosis. They detect the presence of antibodies against T. gondii. There are different types of blood tests, including:
- IgG antibody test: This test detects the presence of IgG antibodies, which indicate a past infection.
- IgM antibody test: This test detects the presence of IgM antibodies, which indicate an acute or recent infection.
- The toxoplasma blood test is a specific test that looks for antibodies in the blood to the parasite T. gondii. It involves drawing blood from a vein (venipuncture).
Other Diagnostic Methods
- Molecular diagnostic methods, such as polymerase chain reaction (PCR), are also used to diagnose toxoplasmosis. These tests detect specific nucleic acid sequences of the parasite.
- Imaging studies, such as ultrasound or MRI, may be performed to visualize any abnormalities in the body caused by the infection.
Physical Examination and Medical History
- A physical examination and medical history are also important components of diagnosing toxoplasmosis. The healthcare provider will perform a physical exam and ask about symptoms, which can include fever, headache, and muscle aches.
References:
- [3] Diagnosis can be made by serologic testing or by molecular testing. Serologic testing detects antibodies in the blood that are produced in response to the infection.
- [5] The toxoplasma blood test looks for antibodies in the blood to a parasite called Toxoplasma gondii.
- [6] Molecular diagnostic methods of diagnosing toxoplasmosis include techniques such as conventional polymerase chain reaction (PCR), nested PCR, and real-time PCR.
- [10] Nucleic Acid Detection ... PCR testing may also be useful in diagnosing congenital T. gondii infection.
Note: The numbers in the references correspond to the search results provided in the context.
Additional Diagnostic Tests
- Blood Tests
- Imaging Studies
- Physical Examination and Medical History
- Molecular Diagnostic Methods
Treatment
Toxoplasmosis, an infection caused by the parasite Toxoplasma gondii, can be treated with a combination of medications. The treatment options for toxoplasmosis are as follows:
- Pyrimethamine and sulfadiazine: This is a common combination used to treat toxoplasmosis, especially in cases where the infection has spread to the eyes or central nervous system [1]. Pyrimethamine works by inhibiting the growth of the parasite, while sulfadiazine helps to eliminate it from the body.
- Clindamycin: This antibiotic is an alternative to sulfonamides and can be used in combination with pyrimethamine for acute treatment [2].
- Atovaquone: This medication can also be used in combination with pyrimethamine to treat toxoplasmosis, especially in cases where the infection has spread to the eyes or central nervous system.
- Spiramycin: This antibiotic is sometimes used before 18 weeks of pregnancy to prevent congenital toxoplasmosis [3].
- Trimethoprim-sulfamethoxazole: This combination is another option for treating toxoplasmosis, especially in cases where the infection has spread to the eyes or central nervous system.
- Leucovorin: This medication can be used to prevent side effects associated with pyrimethamine treatment.
It's essential to note that the choice of therapy should be guided by drug tolerance and the severity of the infection [6]. In some cases, a combination of medications may be necessary to effectively treat toxoplasmosis.
References: [1] Context 1 [2] Context 2 [3] Context 3 [4] Context 7 [5] Context 8 [6] Context 6
Recommended Medications
- Trimethoprim-sulfamethoxazole
- Pyrimethamine and sulfadiazine
- Spiramycin
- spiramycin I
- 5-formyltetrahydrofolic acid
- Leucovorin
- clindamycin
- Clindamycin
- atovaquone
- Atovaquone
💊 Drug information is sourced from ChEBI (Chemical Entities of Biological Interest) database. Always consult with a healthcare professional before starting any medication. Click on any medication name for detailed information.
Differential Diagnosis
Differential Diagnosis of Toxoplasmosis
Toxoplasmosis, a parasitic infection caused by Toxoplasma gondii, can be challenging to diagnose due to its similarity with other conditions. The differential diagnosis of toxoplasmosis includes several conditions that may present with similar symptoms and clinical findings.
Conditions to Consider in the Differential Diagnosis
- Rubella: A viral infection that can cause similar symptoms, such as fever, rash, and lymphadenopathy [1].
- Encephalopathies: Conditions affecting the brain, such as encephalitis or meningitis, which can present with similar neurological symptoms [2].
- Erythroblastosis fetalis: A condition that occurs when there is an incompatibility between the blood types of a mother and her fetus, leading to hemolysis and jaundice [1].
- Brain abscess: A collection of pus in the brain, which can present with similar symptoms, such as fever, headache, and neurological deficits [3].
- Cytomegalovirus: A viral infection that can cause similar symptoms, such as fever, rash, and lymphadenopathy [4].
- Herpes simplex: A viral infection that can cause similar symptoms, such as fever, headache, and skin lesions [5].
- Histoplasmosis: A fungal infection that can cause similar symptoms, such as fever, cough, and chest pain [6].
Clinical Evaluation and Diagnosis
The diagnosis of toxoplasmosis is primarily clinical, based on the presence of focal necrotizing retinochoroiditis often associated with a preexistent chorioretinal scar. Serologic tests, PCR, histologic examination, or isolation of the parasite can also be used to establish the diagnosis [7].
Imaging Differential Considerations
In addition to these conditions, primary CNS lymphoma and cerebral metastases should also be considered in the differential diagnosis of ring-enhancing lesions of the brain [8].
References
[1] Conditions to consider in the differential diagnosis of congenital toxoplasmosis include rubella, encephalopathies, and erythroblastosis fetalis.
[2] Other differentials in the diagnosis of toxoplasmosis include brain abscess, cytomegalovirus, herpes simplex, histoplasmosis, infectious.
[3] The differential diagnosis of ring enhancing lesions of the brain includes but is not limited to the following:
[4] Clinical evaluation and diagnosis is the most important part of diagnosing toxoplasmosis retinitis. Differential diagnosis. Infectious.
[5] Conditions to consider in the differential diagnosis of toxoplasmosis include the following: Sarcoidosis.
[6] FINAL DIAGNOSIS. Toxoplasmosis. DISCUSSION. The differential diagnosis of ring enhancing lesions of the brain includes but is not limited to the following:
[7] by JG Montoya · 2002 · Cited by 783 — The diagnosis of T. gondii infection or toxoplasmosis can be established by serologic tests, PCR, histologic examination, or isolation of the parasite. T.
[8] Differential diagnosis. General imaging differential considerations include: primary CNS lymphoma: see lymphoma vs toxoplasmosis · cerebral metastases. other
Additional Differential Diagnoses
- Cytomegalovirus
- Brain abscess
- Primary CNS lymphoma
- Encephalopathies
- Erythroblastosis fetalis
- Cerebral metastases
- sarcoidosis
- histoplasmosis
- herpes simplex
- rubella
- obsolete disseminated paracoccidioidomycosis
- Nipah virus encephalitis
- obsolete Tritrichomonadida infectious disease
- granulomatous amebic encephalitis
- obsolete primary Mycobacteriaceae infectious disease
- early congenital syphilis
- obsolete AIDS-related toxoplasmosis
- obsolete Lymphocytic choriomeningitis virus meningitis
- brain glioma
- ocular tuberculosis
- North Carolina macular dystrophy
- Zika virus congenital syndrome
- TORCH syndrome
- IDH-wildtype glioblastoma
- pigmented paravenous chorioretinal atrophy
- high grade glioma
- filariasis
- brucellosis
- chorioretinal scar
- retinal vasculitis
- obsolete ocular onchocerciasis
- obsolete secondary syphilitic lymphadenitis
- obsolete peripheral focal retinitis and retinochoroiditis
- giant cell glioblastoma
- central nervous system lymphoma
- endophthalmitis
- infectious mononucleosis
Additional Information
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- IAO_0000115
- A coccidiosis that has_material_basis_in protozoan Toxoplasma gondii. The parasite effects most genera of warm-blooded animals, including humans, but the primary host is the felid (cat) family. Animals are infected by eating infected meat, by ingestion of feces of a cat that has itself recently been infected, or transmission_by mother to fetus. The symptoms include bilateral, nontender cervical or axillary lymphadenopathy, fever, malaise, myalgia, hepatosplenomegaly, anemia and leukopenia.
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