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Congenital toxoplasmosis presenting as central diabetes insipidus in an infant: a case report.
[congenital toxoplasmosis]
Congenital
toxoplasmosis
has
a
wide
range
of
presentation
at
birth
varying
from
severe
neurological
features
such
as
hydrocephalus
and
chorioretinitis
to
a
well
appearing
baby
,
who
may
develop
complications
late
in
infancy
.
While
neuroendocrine
abnormalities
associated
with
congenital
toxoplasmosis
are
uncommon
,
isolated
central
diabetes
insipidus
is
extremely
rare
.
Here
,
we
report
on
a
female
infant
who
presented
with
fever
,
convulsions
,
and
polyuria
.
Examination
revealed
weight
and
length
below
the
3rd
centile
along
with
signs
of
severe
dehydration
.
Fundal
examination
showed
bilateral
chorioretinitis
.
This
infant
developed
hypernatremia
together
with
increased
serum
osmolality
and
decreased
both
urine
osmolality
and
specific
gravity
consistent
with
central
diabetes
insipidus
.
Serology
for
toxoplasma
specific
immunoglobulin
M
was
high
for
both
the
mother
and
the
baby
and
polymerase
chain
reaction
for
toxoplasma
deoxyribonucleic
acid
was
positive
in
the
infant
confirming
congenital
toxoplasmosis
.
Brain
computerized
tomography
scans
demonstrated
ventriculomegaly
associated
with
cerebral
and
cortical
calcifications
.
Fluid
and
electrolyte
abnormalities
responded
to
nasal
vasopressin
therapy
.
This
report
highlights
central
diabetes
inspidus
as
a
rare
presentation
of
congenital
toxoplasmosis
.
Diseases
Validation
Diseases presenting
"fever"
symptom
22q11.2 deletion syndrome
acute rheumatic fever
alexander disease
allergic bronchopulmonary aspergillosis
canavan disease
carcinoma of the gallbladder
child syndrome
congenital toxoplasmosis
cushing syndrome
cystinuria
dracunculiasis
erdheim-chester disease
esophageal adenocarcinoma
esophageal carcinoma
familial mediterranean fever
focal myositis
hodgkin lymphoma, classical
lamellar ichthyosis
legionellosis
locked-in syndrome
malignant atrophic papulosis
neonatal adrenoleukodystrophy
neuralgic amyotrophy
oculocutaneous albinism
papillon-lefèvre syndrome
pyomyositis
pyruvate dehydrogenase deficiency
scrub typhus
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
triple a syndrome
typhoid
waldenström macroglobulinemia
wolf-hirschhorn syndrome
This symptom has already been validated