Toxoplasmosis of the brain and heart: autopsy report of a patient with AIDS.

Central nervous system (CNS) infection by Toxoplasma gondii is not uncommon in patients with acquired immunodeficiency syndrome (AIDS). Extraneural toxoplasmosis has been reported in the heart, lungs, testes, and skin of AIDS patients with concurrent CNS toxoplasmosis. Toxoplasma myocarditis is rare even in AIDS patients, except in Haitians. We report the case of a homosexual white man with positive HIV serology who presented with neurological complaints. A diagnosis of toxoplasmosis was not established before death, but at autopsy the patient had cerebral toxoplasmosis and Toxoplasma myocarditis.