Presentation
Decreased level of consciousness
Patient Data
Age: 50 years
Gender: Male
From the case:
Acute necrotizing toxoplasma encephalitis
![](https://prod-images-static.radiopaedia.org/images/541110/d68fc5f66ba551c4cf623f65f7b47076face1fe37ba76fe1e12bce207cdbd3f7_thumb.jpeg)
![This study is a stack](/packs/stack-YQKLCKBI.gif)
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![This study is a stack](/packs/stack-YQKLCKBI.gif)
![](https://prod-images-static.radiopaedia.org/images/540981/9223dd2da3a4c16170f1d8ef99856d4cc7d80b426a588d830e78c90612044620_thumb.jpeg)
![This study is a stack](/packs/stack-YQKLCKBI.gif)
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![This study is a stack](/packs/stack-YQKLCKBI.gif)
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![This study is a stack](/packs/stack-YQKLCKBI.gif)
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![This study is a stack](/packs/stack-YQKLCKBI.gif)
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![This study is a stack](/packs/stack-YQKLCKBI.gif)
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![This study is a stack](/packs/stack-YQKLCKBI.gif)
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![This study is a stack](/packs/stack-YQKLCKBI.gif)
![](https://prod-images-static.radiopaedia.org/images/540944/e6d6468c16cfc909088737650476e1463cfa640e245fe7da21191849b97d391f_thumb.jpeg)
![This study is a stack](/packs/stack-YQKLCKBI.gif)
![](https://prod-images-static.radiopaedia.org/images/540924/fbbf1f57553e950f1d82703cc37731445a5016048b0867eee204f65f789b6f89_thumb.jpeg)
![This study is a stack](/packs/stack-YQKLCKBI.gif)
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![This study is a stack](/packs/stack-YQKLCKBI.gif)
![](https://prod-images-static.radiopaedia.org/images/541003/9c27c7db849bc16431e7a318015220a3a5695036fd1f0bd13baa98861ca987a0_thumb.jpeg)
![This study is a stack](/packs/stack-YQKLCKBI.gif)
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![](https://prod-images-static.radiopaedia.org/images/541110/d68fc5f66ba551c4cf623f65f7b47076face1fe37ba76fe1e12bce207cdbd3f7_big_gallery.jpeg)
MRI brain was performed and presumed diagnosis of high grade glioma was made.
From the case:
Acute necrotizing toxoplasma encephalitis
![](https://prod-images-static.radiopaedia.org/images/541137/473c647427713cedfa2849f08b8fa5eb81371362bf64d2c7576e27a6d65ceb62_thumb.jpeg)
![This study is a stack](/packs/stack-YQKLCKBI.gif)
![](https://prod-images-static.radiopaedia.org/images/541171/6073618c37c668e8f67ff7ada8fc2c7c09ce7cd1228523ce12f08e334c914cf4_thumb.jpeg)
![This study is a stack](/packs/stack-YQKLCKBI.gif)
![](https://prod-images-static.radiopaedia.org/images/541206/c85a2890091ec0afae3d509cdcfbc7bc7d8ff2887c74ed8c967c99df609584f5_thumb.jpeg)
![This study is a stack](/packs/stack-YQKLCKBI.gif)
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Presumed diagnosis of high grade glioma was made.
Case Discussion
The patient was referred from another hospital with a diagnosis of brain tumor. MRI brain was performed and presumed diagnosis of high grade glioma was made. The patient was scheduled for surgical resection, however, stereotactic biopsy revealed features consistent with necrotizing toxoplasma encephalitis.
Subsequently the patient was confirmed to have HIV/AIDS.