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Vaphiades MS, Grondines B, Kline LB, Riser E, Spencer D. Skin in the game. Surv Ophthalmol 2023; 68:308-311. [PMID: 34813855 DOI: 10.1016/j.survophthal.2021.11.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2021] [Revised: 11/01/2021] [Accepted: 11/15/2021] [Indexed: 11/16/2022]
Abstract
A 23-year-old man with a history of migraine and focal seizures, developed painless visual loss in the left eye associated with optic disk edema. There was no recent history of cat exposure except for a cat that lives outside. Initial laboratory studies were negative. magnetic resonance imaging brain and orbits without and with fat suppression and intravenous contrast was normal. The patient admitted to routinely skinning, processing and consuming deer while not wearing gloves, and he also frequently had cuts on his hands while doing so. The serum Toxoplasma gondii IgG antibody returned at >400 (0-7.1 IU/mL) with the IgM at 10.4 (0-7.9 AU/mL).
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Affiliation(s)
- Michael S Vaphiades
- Departments of Ophthalmology and Neurology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
| | - Brendan Grondines
- Departments of Ophthalmology and Neurology, University of Alabama at Birmingham, Birmingham, Alabama, USA
| | - Lanning B Kline
- Departments of Ophthalmology and Neurology, University of Alabama at Birmingham, Birmingham, Alabama, USA
| | - Emily Riser
- Departments of Ophthalmology and Neurology, University of Alabama at Birmingham, Birmingham, Alabama, USA
| | - Doran Spencer
- Shiley Eye Institute, University of California, San Diego, California, USA
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Bonamigo EL, Rossi EE, Rosa MDCND, Stock RA, Sampaio RR, Lora RC. Uncommon progression of toxoplasmic papillitis: patient perception and case report. REVISTA BRASILEIRA DE OFTALMOLOGIA 2021. [DOI: 10.37039/1982.8551.20210036] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Lee D, Kim M, Moon JW. Bilateral Ocular Toxoplasmosis that Caused Optic Atrophy Secondary to Papillitis. JOURNAL OF THE KOREAN OPHTHALMOLOGICAL SOCIETY 2020. [DOI: 10.3341/jkos.2020.61.9.1109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Triningrat AAMP, Dewi RS, Juliari I, Susila NKN, Surasmiati NMA, Somia IKA. Management of Systemic Steroid in HIV Patient with Toxoplasma Papillitis. Open Access Maced J Med Sci 2019; 7:1821-1824. [PMID: 31316667 PMCID: PMC6614278 DOI: 10.3889/oamjms.2019.488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2019] [Revised: 05/26/2019] [Accepted: 05/27/2019] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND Toxoplasmosis is a zoonotic disease caused by Toxoplasma gondii. Ocular manifestations are seen in both congenital and acquired toxoplasmosis. These can include focal inflammation within or around the optic nerve head (papillitis). Purpose of this study is evaluating the efficacy of systemic steroid in HIV patient with toxoplasma papillitis. CASE PRESENTATION We present a case report of a male, 46 years old with a decrease of visual acuity on the right eye for three weeks before admission to the hospital. An ophthalmology examination showed visual acuity of the right eye 1/60, mild dilatation of the pupil and posterior synechiae, vitreous was hazy, and fundus examination showed optic nerve head not well demarcated and hyperaemic with the good retina and macula reflex. Laboratory examination showed reactive anti-Toxoplasma immunoglobulin G. Patient had been treated with antiretroviral and anti-Toxoplasma drugs, then he was given steroid 250 mg intravenously four times per day for three days and tapering off orally. Visual acuity on the right eye improve from 1/60 became 6/60 after use of steroid on the third day. DISCUSSION Steroid can improve visual acuity for toxoplasma papillitis in this patient. But the long term and close follow up in steroid therapy is needed.
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Affiliation(s)
- AA Mas Putrawati Triningrat
- Ophthalmology Department, Faculty of Medicine, Udayana University, Sanglah Hospital, Denpasar, Bali, Indonesia
| | - Ratna Sari Dewi
- Ophthalmology Department, Faculty of Medicine, Udayana University, Sanglah Hospital, Denpasar, Bali, Indonesia
| | - Igam Juliari
- Ophthalmology Department, Faculty of Medicine, Udayana University, Sanglah Hospital, Denpasar, Bali, Indonesia
| | - NK Niti Susila
- Ophthalmology Department, Faculty of Medicine, Udayana University, Sanglah Hospital, Denpasar, Bali, Indonesia
| | - Ni Made Ayu Surasmiati
- Ophthalmology Department, Faculty of Medicine, Udayana University, Sanglah Hospital, Denpasar, Bali, Indonesia
| | - I Ketut Agus Somia
- Internal Medicine Department, Faculty of Medicine, Udayana Unoversity, Sanglah Hospital, Denpasar, Bali, Indonesia
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Shoeibi N, Hosseini SM, Bayani R. Toxoplasmosis Neuroretinitis: A Case Report. IRANIAN RED CRESCENT MEDICAL JOURNAL 2016; 18:e33115. [PMID: 27340559 PMCID: PMC4916323 DOI: 10.5812/ircmj.33115] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/20/2015] [Revised: 11/21/2015] [Accepted: 12/07/2015] [Indexed: 11/16/2022]
Abstract
Introduction Neuroretinitis (NR) is considered to be an inflammatory condition which is characterized by optic disc edema and, as a result, formation of a macular star figure. NR is an atypical presentation of toxoplasmosis infection, and such cases are quite rare. Case Presentation A 13-year-old girl presented with painless subacute visual loss in her right eye for a week at Khatam-Al-Anbia eye hospital in Mashhad, Iran. Following comprehensive evaluation, a diagnosis of toxoplasmic NR was made. The NR favorably responded to classic anti-toxoplasmosis treatment. A juxtapapillary retinochoroidal scar appeared after disc swelling resolution. Conclusions Although toxoplasmosis NR is rare, it should be considered in the differential diagnoses of NR.
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Affiliation(s)
- Nasser Shoeibi
- Retina Research Center, Khatam-Al-Anbia Eye Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran
| | - Seyedeh Maryam Hosseini
- Retina Research Center, Khatam-Al-Anbia Eye Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran
- Eye Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran
- Corresponding Author: Seyedeh Maryam Hosseini, Retina Research Center, Khatam-Al-Anbia Eye Hospital, 91959-61151, Mashhad, IR Iran. Tel: +98-5137285290, Fax: +98-5137245363, E-mail: ;
| | - Razie Bayani
- Eye Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran
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Kahloun R, Abroug N, Ksiaa I, Mahmoud A, Zeghidi H, Zaouali S, Khairallah M. Infectious optic neuropathies: a clinical update. Eye Brain 2015; 7:59-81. [PMID: 28539795 PMCID: PMC5398737 DOI: 10.2147/eb.s69173] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Different forms of optic neuropathy causing visual impairment of varying severity have been reported in association with a wide variety of infectious agents. Proper clinical diagnosis of any of these infectious conditions is based on epidemiological data, history, systemic symptoms and signs, and the pattern of ocular findings. Diagnosis is confirmed by serologic testing and polymerase chain reaction in selected cases. Treatment of infectious optic neuropathies involves the use of specific anti-infectious drugs and corticosteroids to suppress the associated inflammatory reaction. The visual prognosis is generally good, but persistent severe vision loss with optic atrophy can occur. This review presents optic neuropathies caused by specific viral, bacterial, parasitic, and fungal diseases.
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Affiliation(s)
- Rim Kahloun
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Nesrine Abroug
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Imen Ksiaa
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Anis Mahmoud
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Hatem Zeghidi
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Sonia Zaouali
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Moncef Khairallah
- Department of Ophthalmology, Fattouma Bourguiba University Hospital, Faculty of Medicine, University of Monastir, Monastir, Tunisia
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Lee HJ, Kim SG, Lee SH, Jeong JH. Presumed Ocular Toxoplasmosis Presenting as Isolated Unilateral Papillitis. JOURNAL OF THE KOREAN OPHTHALMOLOGICAL SOCIETY 2013. [DOI: 10.3341/jkos.2013.54.9.1463] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Hye Jin Lee
- Department of Ophthalmology, Jeju National University School of Medicine, Jeju, Korea
| | - Sung Gon Kim
- Department of Ophthalmology, Jeju National University School of Medicine, Jeju, Korea
| | - Sun Ho Lee
- Department of Ophthalmology, Jeju National University School of Medicine, Jeju, Korea
| | - Jin Ho Jeong
- Department of Ophthalmology, Jeju National University School of Medicine, Jeju, Korea
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