Toxoplasmic cyst and heart transplant: a case report of serological reactivation in an acute graft rejection context

We describe the case of a serological reactivation in a Toxoplasma-seropositive subject, following a cardiac transplantation transmitting cysts contained in the myocardial tissue. In a context of acute graft rejection, primary chemoprophylaxis enables to avoid onset of opportunistic toxoplasmosis, e...

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Veröffentlicht in:Annales de biologie clinique (Paris) 2012-05, Vol.70 (3), p.323-328
Hauptverfasser: Desoubeaux, Guillaume, Perret-Gallix, Kévin, Machet, Marie-Christine, Sirinelli, Agnès, Bailly, Eric, Van Langendonck, Nathalie, Chandenier, Jacques
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container_issue 3
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container_title Annales de biologie clinique (Paris)
container_volume 70
creator Desoubeaux, Guillaume
Perret-Gallix, Kévin
Machet, Marie-Christine
Sirinelli, Agnès
Bailly, Eric
Van Langendonck, Nathalie
Chandenier, Jacques
description We describe the case of a serological reactivation in a Toxoplasma-seropositive subject, following a cardiac transplantation transmitting cysts contained in the myocardial tissue. In a context of acute graft rejection, primary chemoprophylaxis enables to avoid onset of opportunistic toxoplasmosis, emerging with immunodepletion performed by high-dose steroids. Then, we draw up a brief review of the bibliographical literature about pathophysiological mechanisms of toxoplasmic reactivation in heart transplants.
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subjects Acute Disease
Antibodies, Protozoan - blood
Antibodies, Protozoan - immunology
Graft Rejection - etiology
Graft Rejection - immunology
Graft Rejection - parasitology
Heart Transplantation - adverse effects
Heart Transplantation - immunology
Heart Transplantation - physiology
Humans
Lymphocyte Activation - immunology
Lymphocyte Activation - physiology
Male
Middle Aged
Serology
Tissue Donors
Toxoplasma - immunology
Toxoplasma - isolation & purification
Toxoplasma - physiology
Toxoplasmosis - blood
Toxoplasmosis - diagnosis
Toxoplasmosis - etiology
Toxoplasmosis - immunology
title Toxoplasmic cyst and heart transplant: a case report of serological reactivation in an acute graft rejection context
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