J., Azlyn Azwa; W. M., Wan Norliza; M., Ibrahim
January 2006
Malaysian Journal of Medical Sciences;Jan2006 Supplement, Vol. 13, p176
Academic Journal
INTRODUCTION: Toxoplasmosis is due to infestation by an obligatory intracellular protozoan parasite called Toxoplasma gondii. Ocular involvement in acquired toxoplasmosis is extremely rare. CASE REPORT: We report herein a case of atypical presentation of ocular toxoplasmosis in a young immunocompromised patient who was just diagnosed as retroviral positive. A 22-year old man who was an active intravenous drug user presented with sudden onset of painless reduced vision of both eyes for one day duration. He claimed that his visison was good previously. He also complained of severe frontal headache 1 week prior to the reduced vision. However there were no other symptoms of increased intracranial pressure. Ocular examinations showed significant reduced vision with presence of cotton wool spot in the posterior pole of both eyes. Radiological imaging showed evidenced suggestive of multiple cerebritis secondary to toxoplasmosis. Anti toxoplasma gondii was started immediately and patient respond well. CONCLUSION: Immunocompromised patient might present with an atypical ocular presentation and the diagnosis might be challenging.


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