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31 year old man with vision loss in the right eye more than the left eye. He has an anaplastic astrocytoma diagnosed 10/2017 the first one was 10/2014. These are different locations. They are treating them with Chemotherapy and Avastin. It might be that one might have spread from the other. He was clean for 3 years. He is on Avastin and Temozolomide but his blood counts have been good. December 2017 he had a herpes superficial infection in the right eye which responded to treatment. The last neurosurgery was October 2017. Going to Duke June 5 and seeing a neuroophthalmologist there. VA OD: Dcc20/40 PH20/25 NccJ5 VA OS: Dcc20/16 PH20/10 NccJ1+ His fundus is presumably nocardia, pneumocystis, aspergillis or cryptococcus. His LP was negative and he was tried on a course of antifungals. He was then lost to followup

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Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus620 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
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Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus687 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
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Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus568 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
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Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus587 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
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Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus462 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
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Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus463 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
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Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus375 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
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Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus404 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
mfc-astrocytoma-ryco_051118_09.png
Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus436 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
mfc-astrocytoma-ryco_051118_10.png
Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus382 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
mfc-astrocytoma-ryco_051118_11.png
Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus406 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
mfc-astrocytoma-ryco_051118_12.jpg
Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus385 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
mfc-astrocytoma-ryco_051118_13.jpg
Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus401 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
mfc-astrocytoma-ryco_051118_14.jpg
Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus336 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
mfc-astrocytoma-ryco_051118_15.jpg
Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus351 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
mfc-astrocytoma-ryco_051118_16.jpg
Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus346 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
mfc-astrocytoma-ryco_051118_18.jpg
Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus333 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
mfc-astrocytoma-ryco_051118_19.jpg
Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus395 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
mfc-astrocytoma-ryco_051118_17.jpg
Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus349 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
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Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus331 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
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Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus365 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
mfc-astrocytoma-ryco_051118_22.jpg
Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus355 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
mfc-astrocytoma-ryco_051118_24.jpg
Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus402 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
mfc-astrocytoma-ryco_051118_25.jpg
Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus326 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
mfc-astrocytoma-ryco_051118_26.jpg
Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus407 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
mfc-astrocytoma-ryco_051118_27.jpg
Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus386 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
mfc-astrocytoma-ryco_051118_28.jpg
Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus367 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
mfc-astrocytoma-ryco_051118_29.jpg
Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus375 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
mfc-astrocytoma-ryco_051118_30.jpg
Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus377 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
mfc-astrocytoma-ryco_051118_31.jpg
Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus414 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
mfc-astrocytoma-ryco_051118_32.jpg
Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus412 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
mfc-astrocytoma-ryco_051118_33.jpg
Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus369 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
mfc-astrocytoma-ryco_051118_34.jpg
Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus355 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
mfc-astrocytoma-ryco_051118_35.jpg
Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus375 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
mfc-astrocytoma-ryco_051118_37.jpg
Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus354 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
mfc-astrocytoma-ryco_051118_36.jpg
Multifocal Choroiditis - Pneumocystis - aspergillis - cryptococcus385 views31 year old male with anaplastic astrocytoma on chemotherapy with mild vision loss in the right eye. LP did not reveal organism. He was placed on a trial of anti-fungal medications and lost to follow-up00000
(0 votes)
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31 year old man with vision loss in the right eye more than the left eye. He has an anaplastic astrocytoma diagnosed 10/2017 the first one was 10/2014. These are different locations. They are treating them with Chemotherapy and Avastin. It might be that one might have spread from the other. He was clean for 3 years. He is on Avastin and Temozolomide but his blood counts have been good. December 2017 he had a herpes superficial infection in the right eye which responded to treatment. The last neurosurgery was October 2017. Going to Duke June 5 and seeing a neuroophthalmologist there. VA OD: Dcc20/40 PH20/25 NccJ5 VA OS: Dcc20/16 PH20/10 NccJ1+ His fundus is presumably nocardia, pneumocystis, aspergillis or cryptococcus. His LP was negative and he was tried on a course of antifungals. He was then lost to followup