<p>Cerebral toxoplasmosis is a&#xa0;form of encephalitis caused by <i>Toxoplasma gondii</i>. It typically occurs in immunocompromised individuals and is rarely observed in patients with B‑cell lymphoma. The first two patients of this case series, both previously diagnosed with peripheral B‑cell lymphoma, presented with new-onset neurological symptoms and cerebral mass lesions. Laboratory results indicated latent infection with <i>T.&#xa0;gondii, </i>but the findings in cerebrospinal fluid were unspecific One patient underwent brain biopsy, thereby confirming the diagnosis histologically, while the second patient was classified as having probable cerebral toxoplasmosis. Both patients were treated with pyrimethamine and sulfadiazine, leading to clinical and radiological improvement within weeks. To highlight the diagnostic pitfalls of cerebral toxoplasmosis, we included a&#xa0;third patient in the case series who presented with a&#xa0;cerebral metastasis of peripheral diffuse large B‑cell lymphoma. Additionally, we performed a&#xa0;comprehensive literature review on cerebral toxoplasmosis in patients with peripheral B‑cell lymphoma.</p>

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Cerebral toxoplasmosis in patients with peripheral B-cell lymphoma

  • Thomas Pass,
  • Raphael Reinecke,
  • Gertraud Heinz,
  • Stefan Oberndorfer

摘要

Cerebral toxoplasmosis is a form of encephalitis caused by Toxoplasma gondii. It typically occurs in immunocompromised individuals and is rarely observed in patients with B‑cell lymphoma. The first two patients of this case series, both previously diagnosed with peripheral B‑cell lymphoma, presented with new-onset neurological symptoms and cerebral mass lesions. Laboratory results indicated latent infection with T. gondii, but the findings in cerebrospinal fluid were unspecific One patient underwent brain biopsy, thereby confirming the diagnosis histologically, while the second patient was classified as having probable cerebral toxoplasmosis. Both patients were treated with pyrimethamine and sulfadiazine, leading to clinical and radiological improvement within weeks. To highlight the diagnostic pitfalls of cerebral toxoplasmosis, we included a third patient in the case series who presented with a cerebral metastasis of peripheral diffuse large B‑cell lymphoma. Additionally, we performed a comprehensive literature review on cerebral toxoplasmosis in patients with peripheral B‑cell lymphoma.