Last additions - Toxoplasmosis - Primary - PCR Confirmed - CLL immunocompromised patient 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.
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis519 viewsVideo - OCT takes time to loadFeb 18, 2014
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis490 views2 weeks after starting treatment - lesion is involutingFeb 18, 2014
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis568 views2 weeks after starting treatment - lesion is involutingFeb 18, 2014
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis465 views2 weeks after starting treatment - lesion is involutingFeb 18, 2014
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis552 viewsFeb 18, 2014
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis438 viewsSerous Retinal Detachment Associated with LesionFeb 18, 2014
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis459 viewsSerous Retinal Detachment Associated with LesionFeb 18, 2014
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis426 viewsSerous Retinal Detachment Associated with LesionFeb 18, 2014
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis463 viewsFA shows Dark SpotFeb 18, 2014
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis492 viewsAnterior UveitisFeb 18, 2014
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis418 viewsFeb 18, 2014
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis396 viewsFeb 18, 2014
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis452 viewsFeb 18, 2014
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis410 viewsFeb 18, 2014
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis411 viewsFeb 18, 2014
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis464 viewsFeb 18, 2014
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis454 viewsFeb 18, 2014
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis484 viewsFeb 18, 2014
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis444 viewsFeb 18, 2014
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis477 viewsAnterior UveitisFeb 18, 2014
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis512 viewsAnterior UveitisFeb 18, 2014
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis500 viewsAnterior UveitisFeb 18, 2014
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis560 viewsFeb 18, 2014
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis470 viewsFeb 18, 2014
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis578 viewsFeb 18, 2014
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitis564 viewsFeb 18, 2014
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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.
