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Journal of the National Medical Association logoLink to Journal of the National Medical Association
. 1994 Jul;86(7):550–552.

Pineal toxoplasmosis mimicking pineal tumor in an AIDS patient.

T P Poon 1, M Behbahani 1, I Matoso 1, B Kim 1
PMCID: PMC2607599  PMID: 8064908

Abstract

A pineal mass in a patient with acquired immunodeficiency syndrome (AIDS) is reported. Computed tomography (CT) scan revealed a nodular mass in the pineal region with foci of calcification and obstruction of the aqueduct mimicking a pineal tumor. At autopsy, the brain revealed a well-circumscribed lesion with central necrosis in the pineal region suggestive of toxoplasma and involving the periaqueductal area. Susceptibility of a patient with AIDS to opportunistic infections should be considered.

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Selected References

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  1. Alonso R., Heiman-Patterson T., Mancall E. L. Cerebral toxoplasmosis in acquired immune deficiency syndrome. Arch Neurol. 1984 Mar;41(3):321–323. doi: 10.1001/archneur.1984.04050150103024. [DOI] [PubMed] [Google Scholar]
  2. Anders K. H., Guerra W. F., Tomiyasu U., Verity M. A., Vinters H. V. The neuropathology of AIDS. UCLA experience and review. Am J Pathol. 1986 Sep;124(3):537–558. [PMC free article] [PubMed] [Google Scholar]
  3. Cerezo L., Alvarez M., Price G. Electron microscopic diagnosis of cerebral toxoplasmosis. Case report. J Neurosurg. 1985 Sep;63(3):470–472. doi: 10.3171/jns.1985.63.3.0470. [DOI] [PubMed] [Google Scholar]
  4. Cohen W., Koslow M. An unusual CT presentation of cerebral toxoplasmosis. J Comput Assist Tomogr. 1985 Mar-Apr;9(2):384–386. doi: 10.1097/00004728-198503000-00033. [DOI] [PubMed] [Google Scholar]
  5. Conley F. K., Jenkins K. A., Remington J. S. Toxoplasma gondii infection of the central nervous system. Use of the peroxidase-antiperoxidase method to demonstrate toxoplasma in formalin fixed, paraffin embedded tissue sections. Hum Pathol. 1981 Aug;12(8):690–698. doi: 10.1016/s0046-8177(81)80170-0. [DOI] [PubMed] [Google Scholar]
  6. Delaney P., Neeley S., Schwartz R. Fatal CNS toxoplasmosis in a homosexual man. Neurology. 1983 Jul;33(7):926–927. doi: 10.1212/wnl.33.7.926. [DOI] [PubMed] [Google Scholar]
  7. Horowitz S. L., Bentson J. R., Benson F., Davos I., Pressman B., Gottlieb M. S. CNS toxoplasmosis in acquired immunodeficiency syndrome. Arch Neurol. 1983 Oct;40(10):649–652. doi: 10.1001/archneur.1983.04050090085015. [DOI] [PubMed] [Google Scholar]
  8. Huang T. E., Chou S. M. Occlusive hypertrophic arteritis as the cause of discrete necrosis in CNS toxoplasmosis in the acquired immunodeficiency syndrome. Hum Pathol. 1988 Oct;19(10):1210–1214. doi: 10.1016/s0046-8177(88)80153-9. [DOI] [PubMed] [Google Scholar]
  9. Levy R. M., Pons V. G., Rosenblum M. L. Central nervous system mass lesions in the acquired immunodeficiency syndrome (AIDS). J Neurosurg. 1984 Jul;61(1):9–16. doi: 10.3171/jns.1984.61.1.0009. [DOI] [PubMed] [Google Scholar]
  10. Luft B. J., Brooks R. G., Conley F. K., McCabe R. E., Remington J. S. Toxoplasmic encephalitis in patients with acquired immune deficiency syndrome. JAMA. 1984 Aug 17;252(7):913–917. [PubMed] [Google Scholar]
  11. Navia B. A., Petito C. K., Gold J. W., Cho E. S., Jordan B. D., Price R. W. Cerebral toxoplasmosis complicating the acquired immune deficiency syndrome: clinical and neuropathological findings in 27 patients. Ann Neurol. 1986 Mar;19(3):224–238. doi: 10.1002/ana.410190303. [DOI] [PubMed] [Google Scholar]

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