A 62-year-old man from the Middle East came to our emergency department because of a fever (39°C) and cough for 1 day, after having progressive weakness, malaise, and weight loss for 4 months. The patient had been well until 4 months previously, when he was found to be positive for human immunodeficiency virus (HIV) with confirmatory Western blot and a CD4 cell count of 76/μL. At that time, he had recurrent seizures caused by cerebral toxoplasmosis. The seizures stopped after implementation of therapy with pyrimethamine, sulfadiazine, phenytoin, zidovudine (AZT), and trimethoprim-sulfamethoxazole (TMP-SMX).
