Acute Granulomatous Hepatitis in the Course of Acquired Toxoplasmosis

Abstract

TOXOPLASMIC hepatitis has been described as a clinical entity,^{1 2 3 4 5 6 7 8} usually as the primary manifestation of acute, acquired toxoplasmosis without adenopathy. Hepatitis can occur also as a late complication of the disease, when lymphadenopathy initially predominates.² We describe a unique case of acquired toxoplasmosis characterized by lymphadenopathy and granulomatous hepatitis. Several reports have discussed toxoplasmic granulomatous hepatitis,^{5 , 6} but the disease has never been documented convincingly. We provide clear evidence that granulomatous hepatitis is a complication of acquired toxoplasmosis and that the severity of the hepatitis may be significantly greater than previously described.^{4 , 7 , 8} Case ReportA 28-year-old native of El Salvador immigrated . . .