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This article is part of the supplement: Infectious diseases of the nervous system: pathogenesis and worldwide impact

Open Access Poster presentation

Localized recrudescence of Toxoplasma gondii infections in the central nervous system of immunocompromised mice assessed by in vivo bioluminescence imaging

Isabel Dellacasa-Lindberg12*, Niclas Hitziger12 and Antonio Barragan12

Author Affiliations

1 Center for Infectious Medicine, Department of Medicine, and Department of Microbiology, Tumor and Cell Biology, Karolinska Institutet, 171 77 Stockholm, Sweden

2 Swedish Institute for Infectious Disease Control, 171 82 Stockholm, Sweden

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BMC Proceedings 2008, 2(Suppl 1):P13  doi:


The electronic version of this article is the complete one and can be found online at: http://www.biomedcentral.com/1753-6561/2/S1/P13


Published:23 September 2008

© 2008 Dellacasa-Lindberg et al; licensee BioMed Central Ltd.

Poster presentation

Reactivation of Toxoplasma infection in the central nervous system (CNS) is a major concern in chronically infected immunocompromised individuals. Yet, the pathophysiology associated with recrudescence of infection remains to be further characterized.

The onset of acute recrudescent Toxoplasma encephalitis in the murine model was assessed using bioluminescence imaging (BLI) as a spatio-temporal indicator. An uneven distribution of recrudescence of infection in the CNS was found. Foci of recrudescence after immunosuppression were most commonly located in frontal and parietal cortex, whereas little infection was found in the cerebellum. Recrudescence was also more common in gray matter than in white matter. Pathology was exacerbated in mice deficient in interferon gamma receptors (IFNgR-/-) corroborating the importance of interferon gamma (IFNg) for control of CNS infection. Analysis of parasitic foci identified abundant leukocyte infiltration (CD45+, CD4+, CD8+, F4/80+ cells) in the vicinity of replicating parasites. Also, activation of astrocytes and abundance of microglia was observed. Further, replicating parasites were localized in the vicinity of microvasculature.

Collectively, the findings suggest that the localization of reactivation foci in the CNS, in conjunction with immune responses, influences the outcome of acute reactivated Toxoplasma encephalitis.