LAUSR

Highlights • Always consider acute toxoplasmosis when a lymphoproliferative syndrome is establish in an immunocompetent patient.• Screen cardiac enzymes in every acute toxoplasmosis, even in the absence of cardiac symptoms.• Cardiac MRI, elevation of cardiac enzymes and positive IgM Toxoplasma gondii serology confirms myocarditis by such agent diagnosis.• Currently, toxoplasma encephalitis has no specific gold standard test, supporting the diagnosis on the clinical manifestations.• There is no robust evidence that supports sulfadoxine plus pyrimethamine as a superior therapy in contrast of trimethoprim/sulfamethoxazole.