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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
"wide range"
symptom
22q11.2 deletion syndrome
acute rheumatic fever
adrenomyeloneuropathy
alexander disease
allergic bronchopulmonary aspergillosis
alpha-thalassemia
aromatase deficiency
benign recurrent intrahepatic cholestasis
cadasil
carcinoma of the gallbladder
congenital toxoplasmosis
cowden syndrome
cystinuria
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
fabry disease
gm1 gangliosidosis
harlequin ichthyosis
homocystinuria without methylmalonic aciduria
hydrocephalus with stenosis of the aqueduct of sylvius
legionellosis
neonatal adrenoleukodystrophy
oral submucous fibrosis
pendred syndrome
phenylketonuria
pleomorphic liposarcoma
primary effusion lymphoma
primary hyperoxaluria type 1
proteus syndrome
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scrub typhus
systemic capillary leak syndrome
thoracic outlet syndrome
triple a syndrome
trochlear dysplasia
well-differentiated liposarcoma
werner syndrome
x-linked adrenoleukodystrophy
zellweger syndrome
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