Atypical toxoplasmic manifestation after discontinuation of maintenance therapy in a human immunodeficiency virus type 1-infected patient with immune recovery

Abstract

We describe an HIV-infected man with recurrence of a toxoplasmic manifestation, despite immune reconstitution during highly active antiretroviral therapy. This atypical recurrence was more likely to be a reinfection than a reactivation, as attested by the genotypic analysis of the Toxoplasma gondii strain recovered from the patient.