# A Headache and an Abscess: A Case of Cerebral Toxoplasmosis

## TL;DR

This paper presents a case of cerebral toxoplasmosis in an immunocompromised patient, highlighting the importance of thorough diagnosis and multidisciplinary care.

## Contribution

The novelty lies in the detailed clinical presentation and management of a rare case of cerebral toxoplasmosis in an HIV-positive patient.

## Key findings

- Ring-enhancing brain lesions were identified through imaging in a 51-year-old Haitian woman.
- The patient's immunocompromised state was attributed to a newly diagnosed HIV infection.
- Multidisciplinary care and an interpreter were essential for effective diagnosis and treatment.

## Abstract

Cerebral toxoplasmosis is a rare cause of brain abscesses, but it occurs more commonly in immunocompromised individuals. Prompt diagnosis and treatment can minimize associated neurologic mortality. When a patient presents with vague symptoms, it is important to continue gathering the patient's medical history and perform a thorough workup. This report describes a case of a 51-year-old Haitian woman who presented with seizure-like activity. Brain imaging revealed ring-enhancing lesions, leading to a new diagnosis of human immunodeficiency virus (HIV) as the cause of her immunocompromised state. Her care necessitated an interpreter, as well as a multidisciplinary team of specialists to diagnose, treat, and provide the best care.