case_images: PMC11771136_01
case_images: (A) Extensive ground-glass opacities in both lung fields (arrows) identified by a chest CT scan. (B) Pseudonodular opacity with central cavitation in the left lower lobe (arrow).
case_images: fmed-11-1446762-g001.jpg
case_images: PMC11771136_01_fmed-11-1446762-g001.jpg
case_images: fig1
case_images: An urgent chest computed tomography (CT) scan revealed extensive ground-glass opacities in both lung fields, some with a pseudonodular appearance and one in the left lower lobe with central cavitation (Figures 1A,B).
case_images: (A)
  T. gondii tachyzoites (arrow) identified by Giemsa staining in the bronchoalveolar lavage sample. (B)
  T. gondii tachyzoites (arrows) identified by Giemsa staining in the bone marrow aspirate sample.
case_images: fmed-11-1446762-g002.jpg
case_images: PMC11771136_01_fmed-11-1446762-g002.jpg
case_images: fig2
case_images: Further diagnostic tests, including Giemsa staining of the bronchoalveolar lavage (Figure 2A) and bone marrow (Figure 2B) samples, identified parasitic forms consistent with T. gondii tachyzoites.
case_images: Multicystic lesions with peripheral and septal contrast enhancement (arrow) identified by a brain CT scan, suggestive of toxoplasmic encephalitis.
case_images: fmed-11-1446762-g003.jpg
case_images: PMC11771136_01_fmed-11-1446762-g003.jpg
case_images: fig3
case_images: The onset of agitation with visual hallucinations prompted a contrast-enhanced CT scan on day 71 (Figure 3), which revealed two SOLs in the left occipital lobe and left cerebellar hemisphere, each with a maximum diameter of 29 mm and 19 mm, respectively.