1. Atypical toxoplasmic retinochoroiditis.
- Author
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Theodoropoulou S, Schmoll C, Templeton K, and Dhillon B
- Subjects
- Adult, Anti-Bacterial Agents administration & dosage, Antimalarials administration & dosage, Aqueous Humor microbiology, Chorioretinitis drug therapy, Chorioretinitis microbiology, DNA, Bacterial analysis, Diagnosis, Differential, Drug Therapy, Combination, Humans, Intravitreal Injections, Male, Polymerase Chain Reaction, Toxoplasma genetics, Toxoplasmosis, Ocular drug therapy, Toxoplasmosis, Ocular microbiology, Chorioretinitis diagnosis, Clindamycin administration & dosage, Pyrimethamine administration & dosage, Toxoplasma isolation & purification, Toxoplasmosis, Ocular diagnosis
- Abstract
We report a case of re-activation of Toxoplasma gondii as a cause of atypical retinal necrosis in an immunocompetent individual. The rapid development of necrotising confluent retinochoroiditis and vitreous inflammation necessitated urgent aqueous humor PCR analysis, which was positive for T gondii. The patient was treated with two intravitreal injections of clindamycin, along with oral sulphadiazine, pyrimethamine, folinic acid and prednisolone. He developed central retinal arterial occlusion, as a complication of toxoplasmic retinochoroiditis, and immediate anterior chamber paracentesis was performed with visual recovery. The injection of intravitreal clindamycin with concomitant oral therapy was associated with control of toxoplasmic retinochoroiditis and resolution of vitreous inflammation.
- Published
- 2012
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