ESPN 50th Annual Meeting

ESPN 2017


 
Toxoplasmosis and infnatile nephrotic syndrome
BAYA GUERD 1 IMENE CHAOUI 1 NISMA FERHAT 1 YOUNES BOULAHIA 1 DAOUYA IFTENE 1

1- CENTRAL HOSPITAL OF ARMY
 
Introduction:

Toxoplasmosis is a cosmopolitan parasitic zoonosis caused by an intracellular protozoan, Toxoplasma (T.) gondii. Usually benign, but potentially severe to the fetus and the immunocompromised subject. In the immunocompromised patient, toxoplasmosis is a severe infection with severe consequences. This is most often the reactivation of an old toxoplasmosis. It can be disseminated or localized. 

Material and methods:

 We report the case of a child followed for transfusional homozygous B-thalassemia, who presented at the age of 03 a nephrotic syndrome with febrile convulsions following the prescription of bolus of solumédrol, 

Results:

the  exploration revealed a positive toxoplasmic serology Confirmed by a PCR positive in the blood, concluded to a disseminated reactivation of a toxoplasmosis ; treated by antibiotics. 

Conclusions:

Disseminated toxoplasmosis is fatal without treatment. The fever is constant, isolated at first. Secondarily, an alteration of general condition and visceral involvement Multiple .
Among the localized forms, toxoplasmosis Cerebral is the most frequent.