Early diagnosis and successful treatment of acquired toxoplasmosis infectious retinochoroiditis: A case report.
Medicine (Baltimore)
; 97(26): e11231, 2018 Jun.
Article
em En
| MEDLINE
| ID: mdl-29952985
ABSTRACT
RATIONALE Toxoplasma gondii is distributed worldwide, infecting a large population. It can cause focal necrotic retinitis or retinochoroiditis in the human eyes and is one of the most common causes of posterior uveitis. PATIENT CONCERNS A 68-year-old patient with normal immunity was complained about blurred vision and black shadow in the right eye for 1 week. DIAGNOSES Combined Yellow-and-white bulged lesions in the fundus of the right eye with the Goldmann-Witmer coefficientâ=â2 and based on the serological indicators, we considered the diagnosis of T. gondii infection-induced retinochondritis. INTERVENTIONS:
Acetylspiramycin 0.4 QIDâ×â3 weeks, concussive 20 days treatment after 3 days, for a total of 3 months, prednisone 20âmg/day with a weekly reduction of 5âmg for 1âmonth.OUTCOMES:
After oral acetylspiramycin, topical and systemic corticosteroids for 3 months, the retinal lesions were scarred, and inflammation of the anterior chamber and vitreum disappeared. After a 9-month follow-up, the visual acuity was 0.6, and no active lesions were observed in the fundus. LESSONS The immunocompetent elderly who are in contact with domestic cats may have an opportunistic infection with toxoplasmosis leading to primary retinochoroiditis. Prompt diagnosis and effective treatment can get a good clinical prognosis.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Toxoplasmose Ocular
/
Coriorretinite
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
/
Screening_studies
Limite:
Aged
/
Animals
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Humans
/
Male
Idioma:
En
Revista:
Medicine (Baltimore)
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
China