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Patient states that he went to sleep on Thursday night 10/31 and when he woke up Friday morning he had a headache and some eye irritation in the right eye, along with decreased vision. This was about 1 week ago. It's doing about the same or a little bit worse. He started the eye drops about 2 days ago and one yesterday. He is on homatropine, timolol and durazol. Patient is now getting gamma-globulin. For the entire month of September he had 103 degree fever. He had a second opinion from a doctor at Moffit. There was suspicious that the T-Cell count was low. He was on prednisone and has now tapered to 5 mg per day. He is to taper off by Sunday. He started on high dose prednisone 60 mg per day in September. He has not had a port in for a few years. He had no indwelling catheters in the hospital. VA OD: sc20/125-2 PH20/40-2 NccJ10 OS: sc20/16 PHNI NccJ1+ IOP: TP OD: 21 OS: 14 Posterior Segment: Findings OD: Nerve: Pink. Sharp. CDR-V 0.5. Vitreous: Vitreous Syneresis. Mild Diffuse Cells. Retinal Vessels: Attenuated Vessels. Macula: No Hemorrhage. No Subretinal Fluid. No Edema. Because of the possible diagnoses, PCR was sent of the anterior chamber which came back positive for toxoplasmosis and negative for herpes viruses. The patient was treated with Bactrim DS for 6 weeks and no steroids and completely resolved. The lesion grew a little bit.

toxo_helo_11071301.png
Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvaatamisi: 13900000
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toxo_helo_11071303.png
Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvaatamisi: 15000000
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toxo_helo_11071302.png
Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvaatamisi: 10100000
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvaatamisi: 16600000
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toxo_helo_11071306.jpg
Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvaatamisi: 131Anterior Uveitis00000
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toxo_helo_11071307.jpg
Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvaatamisi: 116Anterior Uveitis00000
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toxo_helo_11071308.jpg
Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvaatamisi: 110Anterior Uveitis00000
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toxo_helo_11071309.jpg
Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvaatamisi: 9900000
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvaatamisi: 6600000
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toxo_helo_11071311.jpg
Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvaatamisi: 7300000
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toxo_helo_11071312.jpg
Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvaatamisi: 6400000
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvaatamisi: 6800000
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvaatamisi: 7100000
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvaatamisi: 8600000
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvaatamisi: 6300000
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvaatamisi: 7700000
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toxo_helo_11071305.png
Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvaatamisi: 103Anterior Uveitis00000
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toxo_helo_11071318.jpg
Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvaatamisi: 93FA shows Dark Spot00000
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toxo_helo_11071319.jpg
Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvaatamisi: 79Serous Retinal Detachment Associated with Lesion00000
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toxo_helo_11071320.jpg
Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvaatamisi: 96Serous Retinal Detachment Associated with Lesion00000
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toxo_helo_11071321.jpg
Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvaatamisi: 96Serous Retinal Detachment Associated with Lesion00000
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toxo_helo_11071322.png
Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvaatamisi: 12900000
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toxo_helo_12041324.png
Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvaatamisi: 1062 weeks after starting treatment - lesion is involuting00000
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvaatamisi: 1472 weeks after starting treatment - lesion is involuting00000
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toxo_helo_12041326.png
Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvaatamisi: 1192 weeks after starting treatment - lesion is involuting00000
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toxo_helo_11201323.avi
Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvaatamisi: 172Video - OCT takes time to load00000
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26 faili 1 lehel

Patient states that he went to sleep on Thursday night 10/31 and when he woke up Friday morning he had a headache and some eye irritation in the right eye, along with decreased vision. This was about 1 week ago. It's doing about the same or a little bit worse. He started the eye drops about 2 days ago and one yesterday. He is on homatropine, timolol and durazol. Patient is now getting gamma-globulin. For the entire month of September he had 103 degree fever. He had a second opinion from a doctor at Moffit. There was suspicious that the T-Cell count was low. He was on prednisone and has now tapered to 5 mg per day. He is to taper off by Sunday. He started on high dose prednisone 60 mg per day in September. He has not had a port in for a few years. He had no indwelling catheters in the hospital. VA OD: sc20/125-2 PH20/40-2 NccJ10 OS: sc20/16 PHNI NccJ1+ IOP: TP OD: 21 OS: 14 Posterior Segment: Findings OD: Nerve: Pink. Sharp. CDR-V 0.5. Vitreous: Vitreous Syneresis. Mild Diffuse Cells. Retinal Vessels: Attenuated Vessels. Macula: No Hemorrhage. No Subretinal Fluid. No Edema. Because of the possible diagnoses, PCR was sent of the anterior chamber which came back positive for toxoplasmosis and negative for herpes viruses. The patient was treated with Bactrim DS for 6 weeks and no steroids and completely resolved. The lesion grew a little bit.