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Symptoms
If you're healthy, you probably won't know you've
contractedtoxoplasmosis. Some people, however,
develop signs and symptoms similar to those of
the flu, including:
Body aches
Swollen lymph nodes
Headache
Fever
Fatigue
Headache
Confusion
Poor coordination
Seizures
Lung problems that may resemble tuberculosis or Pneumocystis jiroveci
pneumonia, a common opportunistic infection that occurs in people with AIDS
Blurred vision caused by severe inflammation of your retina (ocular
toxoplasmosis)
In babies
If you become infected for the first time just before or during your pregnancy, you can
pass the infection to your baby (congenital toxoplasmosis), even if you don't have
signs and symptoms yourself.
Your baby is most at risk of contracting toxoplasmosis if you become infected in the
third trimester and least at risk if you become infected during the first trimester. On
the other hand, the earlier in your pregnancy the infection occurs, the more serious the
outcome for your baby.
Many early infections end in stillbirth or miscarriage. Children who survive are likely
to be born with serious problems, such as:
Seizures
An enlarged liver and spleen
Yellowing of the skin and whites of the eyes (jaundice)
Severe eye infections
Only a small number of babies who have toxoplasmosis show signs of the disease at
birth. Often, infected children don't develop signs and symptoms including hearing
loss, mental disability or serious eye infections until their teens or later.
Causes
Toxoplasma gondii (T. gondii) is a single-celled parasitic organism that can infect
most animals and birds. Because it reproduces only in cats, wild and domestic felines
are the parasite's ultimate host.
When a person becomes infected with T. gondii,the parasite forms cysts that can
affect almost any part of the body often your brain and muscles, including the
heart.
If you're generally healthy, your immune system keeps the parasites in check. They
remain in your body in an inactive state, providing you with lifelong immunity so that
you can't become infected with the parasite again. But if your resistance is weakened
by disease or certain medications, the infection can be reactivated, leading to serious
complications.
Although you can't "catch" toxoplasmosis from an infected child or adult, you can
become infected if you:
Come into contact with cat feces that contain the parasite. You may
accidentally ingest the parasites if you touch your mouth after gardening,
cleaning a litter box or touching anything that has come in contact with
infected cat feces. Cats who hunt or who are fed raw meat are most likely to
harbor T. gondii.
Eat or drink contaminated food or water. Lamb, pork and venison are
especially likely to be infected with T. gondii. Occasionally, unpasteurized
dairy products also may contain the parasite. Water contaminated with T.
gondii isn't common in the United States.
Use contaminated knives, cutting boards or other utensils. Kitchen utensils
that come into contact with raw meat can harbor the parasites unless the
utensils are washed thoroughly in hot, soapy water.
Eat unwashed fruits and vegetables. The surface of fruits and vegetables
may contain the parasite. To be safe, thoroughly wash all produce, especially
any you eat raw.
Receive an infected organ transplant or transfused blood. In rare cases,
toxoplasmosis can be transmitted through an organ transplant or blood
transfusion.
Risk factors
Anyone can become infected with toxoplasmosis. The parasite is found throughout
the world.
You're at risk of serious health problems from toxoplasmosis infection if:
You have HIV/AIDS. Many people with HIV/AIDS also have toxoplasmosis,
either a recent infection or an old infection that has reactivated.
You're undergoing chemotherapy. Chemotherapy affects your immune
system, making it difficult for your body to fight even minor infections.
You take steroids or other immunosuppressant drugs. Medications used to
treat certain nonmalignant conditions suppress your immune system and make
you more likely to develop complications of toxoplasmosis.
You're pregnant. If you have active toxoplasmosis, treatment can reduce the
risk to your baby. If you had toxoplasmosis before becoming pregnant, you
generally can't pass the infection to your baby.
Complications
If you have a normal immune system, you're not likely to experience complications of
toxoplasmosis, although otherwise healthy people sometimes develop eye infections.
Untreated, these infections can lead to blindness.
But if your immune system is weakened, especially as a result of HIV/AIDS,
toxoplasmosis can lead to seizures and life-threatening illnesses such as encephalitis
a serious brain infection.
Magnetic resonance imaging (MRI). This test uses a magnetic field and
radio (electromagnetic) waves to create cross-sectional images of your head
and brain. During the procedure, you lie inside a large, doughnut-shaped
machine that contains a magnet surrounded by coils that send and receive
radio waves.
In response to the radio waves, your body produces faint signals that are
picked up by the coils and processed into images by a computer. MRI is
noninvasive and poses no risks to your health.
amount of a particular white blood cell in your blood remains high for at least three
to six months.
Prevention
Certain precautions can help prevent toxoplasmosis:
Wear gloves when you garden or handle soil. Wear gloves whenever you
work outdoors and wash your hands thoroughly with soap and water
afterward.
Don't eat raw or undercooked meat. Meat, especially lamb, pork and beef,
can harbor toxoplasma organisms. Don't taste meat before it's fully cooked.
Avoid raw cured meat.
Wash kitchen utensils thoroughly. After preparing raw meat, wash cutting
boards, knives and other utensils in hot, soapy water to prevent cross
contamination of other foods. Wash your hands after handling raw meat.
Wash all fruits and vegetables. Scrub fresh fruits and vegetables, especially
if you plan to eat them raw. Remove peels when possible, but only after
washing.
Don't drink unpasteurized milk. Unpasteurized milk and other dairy
products may contain toxoplasma parasites.
Cover children's sandboxes. If you have a sandbox, cover it when your
children aren't playing in it to keep cats from using it as a litter box.
Help your cat stay healthy. Keep your cat indoors and feed it dry or canned
cat food, not raw meat. Cats can become infected after eating infected prey or
undercooked meat that contains the parasite.
Avoid stray cats or kittens. Although all stray animals need good homes, it's
best to let someone else adopt them. Most cats don't show signs of T. gondii
infection, and although they can be tested for toxoplasmosis, it may take up to
a month to get the results.
Have someone else clean your cat's litter box. If that's not possible, wear
gloves and a face mask to change the litter. Then wash your hands well.
Change the litter daily so that excreted cysts don't have time to become
infectious.