Ipsilateral adenic syndrome in an immunocompetent patient with lung toxoplasmosis. Case presentation

Abstract

Introduction: the pulmonary Toxoplasmosis associated to an ipsilateral adenic syndrome with adenopathies over 8 cm of diameter in an immunocompetent patient is infrequent in the daily medical practice, generally, the adenopathies found in the patients affected by toxoplasmosis rarely surpass the 5 cm of diameters, and their locations are usually bilateral, besides when there is a visceral commitment (pulmonary), the symptomatology uses to be florid.
Case presentation: it is presented a case of a 48 year-old patient with pulmonary Toxoplasmosis who was hospitalized in the CMDI Simón Bolívar and he was treated with azythromicin during 6 weeks having a satisfactory evolution.
Discussion: in the last decade there have been reported several cases with severe visceral commitment by wild strains of Toxoplasma gondii, the most common symptoms of the pulmonary toxoplasmosis are cough, fever, dyspnea, and malaise, in the patients with AIDS the tax of pneumonia by Toxoplasma is high, compared with the immunocompetents patients, in which the prevailing clinical presentation is the ganglionar, with adenomegalias. 
Conclusions: the remarkable thing of this case is the atypical way of the ganglionar occupation and the size of the adenopathies found in the patient, besides the progression of the illness with pulmonary affectation is infrequent; the precocious diagnostic of this illness is important since it allows us to perform a suitable control and treatment to avoid severe visceral complications.