Toxoplasmosis physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2] ; Aditya Ganti M.B.B.S. [3]

Physical Examination

Vital Signs

• Fever
• Tachypnea

Oral cavity

• Oral ulcers can be seen in some patients

Lymph nodes

• In cases with skin involvement from direct inoculation, regional lymph node enlargement may be seen.

Neck

• No masses

Cardiovascular system

• Regular rate and rhythm
• Normal S1, S2
• No murmurs, rubs, or gallops

Lungs

Findings consistent with parenchymal consolidation such as

• Dullness to percussion
• Increased fremitus
• Signs of pleura involvement such as pleuritic rub.

Abdominal

• Abdomen soft and non-distended with no scars or striations
• No pulsatile masses or abdominal bruits ascultated
• Spleen not palpable, liver not palpable

Skin

• Ulcerative lesions that bleed easily
• Verrucous lesions with irregular border and variegated appearance

Bone and joints

• Soft tissue swelling around the area of involvement and discharging sinuses might be consistent with osteomyelitis.
• Arthritis can cause reproducible pain in joints.

Genitourinary system

• Pyuria
• Painful urination

Extremities

• Ulcers that bleed on touch

Neurological

Normal examination finding unless the infection is disseminated to brain resulting in meningitis,then findings include :

• Altered level of consciousness
• Nuchal rigidity
• Unsteady gait
• Slurred speech
• Muscle weakness

Skin

Trunk

• 

  Toxoplasmose. Adapted from Dermatology Atlas.

• 

  Toxoplasmose. Adapted from Dermatology Atlas.

• 

  Toxoplasmose. Adapted from Dermatology Atlas.

• 

  Toxoplasmose. Adapted from Dermatology Atlas.

• 

  Toxoplasmose. Adapted from Dermatology Atlas.

References

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