后天性弓形虫病引起的常见临床综合征有:粟粒性感染伴有多数器官受到损害;或只有淋巴结和个别器官受累,如心肌炎、肝炎、脉络膜视网膜炎、多肌炎以及脑膜脑炎。成人最常见的综合征是颈部和/或腋下淋巴结炎、发热和不适。本文首次报告一例经组织学和血清学证实的粟粒性弓形虫病,伴发心包炎、心肌炎和心内膜炎。患者男性15岁,既往健康。1976年4月19日住院。14天前出现胸膜炎性胸疼、运动性呼吸困难,随之出现干咳、全腹不适、厌食、发热、腹围增大;两日后颈部与左腋下淋巴结肿大有触痛、发热、盗汗。无关节增大和出疹。以往有与猫密切接触史。患儿面色苍白、发 Common clinical syndromes caused by acquired toxoplasmosis are: Miliary infections are associated with damage to most organs; or only lymph nodes and individual organs such as myocarditis, hepatitis, chorioretinitis, polymyositis, and meningoencephalitis. The most common syndrome in adults is neck and / or underarm lymphadenitis, fever and discomfort. This is the first report of a case of histological and serological confirmed miliary toxoplasmosis, associated with pericarditis, myocarditis and endocarditis. Male patient 15 years old, past health. April 19, 1976 hospitalization. 14 days ago pleuritic chest pain, exercise dyspnea, followed by dry cough, abdominal discomfort, anorexia, fever, abdominal circumference increased; two days after the neck and left armpit lymph nodes swelling tenderness, fever, night sweats . No joint increases and rash. In the past have a close contact with the history of cats. Children pale, hair