Toxoplasma gondii in cerebrospinal fluid.

Editor, Toxoplasma gondii is a rare cause of meningitis. Here we report a case of one year old child who presented with low grade fever and fits. Physical examination was essentially normal. His haemoglobin was 13.2G%. Total and differential leucocyte counts and ESR were normal. Blood smear was negative for malarial parasite and both views of x.ray skull were also normal. A lumbar puncture was done. CSF protein, sugar and chloride were normal. IgA and IgM antibodies specific to toxoplasma gondii were also negative. Cell counts was 50/cmm. On the basis of high cell count CSF smears were stained with grains and leishman’s stains. On microscopy typical crescent shaped toxoplasma gondii were identifIed. Further confirmation of parasite was done with giema and alkaline methylene blue stains (Figure).