TY - JOUR
T1 - Driving in Fog without Headlight
T2 - Management of a Challenging Case of Presumed Ocular Toxoplasmosis
AU - Dutta Majumder, Parthopratim
AU - Shah, Amravi
AU - Madhuravasal Krishnan, Janani
AU - Rishi, Ekta
AU - Curi, André Luiz Land
N1 - Publisher Copyright:
© 2019 Taylor & Francis Group, LLC.
PY - 2021
Y1 - 2021
N2 - Purpose: To describe a case of presumed ocular toxoplasmosis. Method: A retrospective chart review. Result: This case report describes a 35-year-old male who presented hypopyon anterior uveitis in his left eye. Fundus examination revealed severe vitritis which precluded the view of retina. His serum anti-toxoplasma immunoglobulin (Ig)G was significantly raised, with a normal anti-toxoplasma IgM level and PCR from nested primers targeting B1 gene of Toxoplasma gondii was positive. He was started on empirical anti-toxoplasma therapy. Undiluted vitreous specimen collected during lensectomy and diagnostic vitrectomy in left eye was also positive for nested primers targeting B1 gene of T. gondii. Conclusion: Ocular toxoplasmosis without retinochoroiditis, though extremely rare, can occur.
AB - Purpose: To describe a case of presumed ocular toxoplasmosis. Method: A retrospective chart review. Result: This case report describes a 35-year-old male who presented hypopyon anterior uveitis in his left eye. Fundus examination revealed severe vitritis which precluded the view of retina. His serum anti-toxoplasma immunoglobulin (Ig)G was significantly raised, with a normal anti-toxoplasma IgM level and PCR from nested primers targeting B1 gene of Toxoplasma gondii was positive. He was started on empirical anti-toxoplasma therapy. Undiluted vitreous specimen collected during lensectomy and diagnostic vitrectomy in left eye was also positive for nested primers targeting B1 gene of T. gondii. Conclusion: Ocular toxoplasmosis without retinochoroiditis, though extremely rare, can occur.
KW - Hypopyon
KW - polymerase chain reaction
KW - toxoplasmosis
KW - vitritis
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U2 - 10.1080/09273948.2019.1657466
DO - 10.1080/09273948.2019.1657466
M3 - Letter
C2 - 31577475
AN - SCOPUS:85074011519
SN - 0927-3948
VL - 29
SP - 115
EP - 117
JO - Ocular Immunology and Inflammation
JF - Ocular Immunology and Inflammation
IS - 1
ER -