Acute Granulomatous Hepatitis in the Course of Acquired Toxoplasmosis

TOXOPLASMIC hepatitis has been described as a clinical entity,1 2 3 4 5 6 7 8 usually as the primary manifestation of acute, acquired toxoplasmosis without adenopathy. Hepatitis can occur also as a late complication of the disease, when lymphadenopathy initially predominates.2 We describe a unique case of acquired toxoplasmosis characterized by lymphadenopathy and granulomatous hepatitis. Several reports have discussed toxoplasmic granulomatous hepatitis,5 , 6 but the disease has never been documented convincingly. We provide clear evidence that granulomatous hepatitis is a complication of acquired toxoplasmosis and that the severity of the hepatitis may be significantly greater than previously described.4 , 7 , 8 Case ReportA 28-year-old native of El Salvador immigrated . . .