case_images: PMC11700430_01
case_images: Radiograph taken at presentation. There is an ill-defined increase in opacity in the caudal lung lobes and oesophagus (white arrow), flattening of the diaphragm, cardiac silhouette spacing from the diaphragm and hepatic parenchyma size increase, with rounded borders
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case_images: Radiography (Figure 1) revealed one small patchy pulmonary alveolar infiltrate in the caudal lung lobes and hepatomegaly.
case_images: Radiograph taken 24 h (without approximately) after presentation. There is increased lung opacity in multiple ventral areas, small and ill-defined, an increase in the cardiac silhouette compared with presentation and an increase in abdominal distension
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case_images: A second radiograph (Figure 2) revealed a ventral alveolar pattern with multiple focal pulmonary opacities.
case_images: Radiograph taken 48 h after presentation, showing the presence of multiple areas of increased pulmonary opacity, with air bronchograms and loss of pulmonary vessel detail, affecting the ventral half of the lung parenchyma
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case_images: AST and ALT, severe hyponatraemia, hypokalaemia, hypochloraemia and moderate leukocytosis. A third radiograph (Figure 3) showed ventral lung consolidation and air bronchograms.
case_images: Fine-needle aspiration of the liver, x 100. The hepatocellular population shows discrete to moderate degenerative changes. Some hepatocytes evidence vacuolated and foamy cytoplasm, with small accumulations of bile pigment granules (red arrow). There is a mixed cellular inflammatory component consisting of different maturation stages of lymphocytes and a small number of neutrophils (white arrowheads)
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case_images: T gondii tachyzoites-bradyzoites in the liver (Figures 4-6) and lungs (Figures 7 and 8). The slides of cytological samples stained with H&E were scraped with a microtomy blade. The scraped material was collected in a 1.5 ml conical plastic tube.
case_images: Fine-needle aspiration of the liver, x 100. Structures 4-6 microm in size, crescent-shaped, in a group of seven, compatible with Toxoplasma gondii (yellow arrow)
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case_images: T gondii tachyzoites-bradyzoites in the liver (Figures 4-6) and lungs (Figures 7 and 8). The slides of cytological samples stained with H&E were scraped with a microtomy blade. The scraped material was collected in a 1.5 ml conical plastic tube.
case_images: Fine-needle aspiration of the liver, x100. Spherical ovated structure, 100 microm in size, filled with crescent-shaped structures, compatible with a Toxoplasma gondii tissue cyst (yellow arrow)
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case_images: PMC11700430_01_10.1177_20551169241298746-fig6.jpg
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case_images: T gondii tachyzoites-bradyzoites in the liver (Figures 4-6) and lungs (Figures 7 and 8). The slides of cytological samples stained with H&E were scraped with a microtomy blade. The scraped material was collected in a 1.5 ml conical plastic tube.
case_images: Fine-needle aspiration of the lung, x 100. Epithelial respiratory cells showing typical apical cilia (white arrow) can be observed. One crescent-shaped organism (yellow arrow) compatible with Toxoplasma gondii is present outside the cells
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case_images: PMC11700430_01_10.1177_20551169241298746-fig7.jpg
case_images: fig7-20551169241298746
case_images: T gondii tachyzoites-bradyzoites in the liver (Figures 4-6) and lungs (Figures 7 and 8). The slides of cytological samples stained with H&E were scraped with a microtomy blade. The scraped material was collected in a 1.5 ml conical plastic tube.
case_images: Fine-needle aspiration of the lung, x 100. Three to four crescent-shaped organisms (yellow arrow) compatible with Toxoplasma gondii can be found in the cytoplasm of the respiratory cells
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case_images: PMC11700430_01_10.1177_20551169241298746-fig8.jpg
case_images: fig8-20551169241298746
case_images: T gondii tachyzoites-bradyzoites in the liver (Figures 4-6) and lungs (Figures 7 and 8). The slides of cytological samples stained with H&E were scraped with a microtomy blade. The scraped material was collected in a 1.5 ml conical plastic tube.