Unusual toxoplasmic chorioretinitis in advanced age: a diagnostic problem.
Τίτλος | Unusual toxoplasmic chorioretinitis in advanced age: a diagnostic problem. |
Publication Type | Journal Article |
Year of Publication | 2011 |
Authors | Mataftsi, A., Fragkou A., Vezyri E., Topouzis F., Diza E., & Dimitrakos S. A. |
Journal | Semin Ophthalmol |
Volume | 26 |
Issue | 1 |
Pagination | 4-6 |
Date Published | 2011 Jan |
ISSN | 1744-5205 |
Λέξεις κλειδιά | Antiprotozoal Agents, Chorioretinitis, Diagnosis, Differential, DNA, Protozoan, Humans, Male, Middle Aged, Polymerase Chain Reaction, Toxoplasma, Toxoplasmosis, Ocular, Visual Acuity, Vitreous Body |
Abstract | PURPOSE: To raise awareness regarding presentation of toxoplasmic chorioretinitis late in life, and to discuss the invasive diagnostic options.PATIENTS/METHODS: Case report.RESULTS: A 62-year-old patient presenting with posterior vitritis and a focus of retinitis was misdiagnosed and treated with antivirals and corticosteroids. Relapse after initial stabilization justified a vitreous tap for culture and DNA detection of a number of infectious agents, leading to the correct diagnosis of T.gondii infection.CONCLUSIONS: Ocular sampling may be necessary to secure timely diagnosis and treatment of atypical retinitis. Acquired ocular toxoplasmosis may be under-recognized as a cause of infectious posterior uveitis and caution should be applied when administering steroids without a definite diagnosis. |
DOI | 10.3109/08820538.2010.541315 |
Alternate Journal | Semin Ophthalmol |
PubMed ID | 21275597 |