Toxoplasma gondii is an obligate intracellular parasite capable of infecting a wide variety of
intermediate hosts including man. Toxoplasmosis is acquired by humans through ingestion of
food or water contaminated with cat feces or through eating undercooked meat containing
viable oocysts. Vertical transmission of the parasite through the placenta can also occur,
leading to congenital toxoplasmosis. Infection in man is usually asymptomatic. Following
primary infection, Toxoplasma gondii can remain latent for the life of the host; the risk for
reactivation is highest among immunosuppressed individuals. The most common
symptomatic presentation in man is lymphadenopathy, encephalitis, myocarditis and
pneumonitis. Demonstration of Toxoplasma IgG in the serum of person with eye lesion helps
in diagnosing Ocular toxoplasmosis. In addition, antibody levels and demonstration of
parasite DNA in aqueous humor confirms the diagnosis of Ocular toxoplasmosis. Persistent
or increasing IgG antibody levels in the infant compared with the mother and/or positive
result of Toxoplasma specific IgM or IgA are diagnostic of Congenital toxoplasmosis.
Demonstration of Toxoplasma specific IgG in CSF can help confirm the diagnosis of
Congenital toxoplasmosis when the results are compared to serum Toxoplasma specific IgG
levels.
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