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Last additions - Infectious Uveitis

toxoplasmosis3_1105177_091522_13.jpg
Recurrent toxoplasmosis with elevated IOP76 views48 year old man with 4 episodes over 40 years of vision loss from toxoplasmosis. His IOP was 44 on presentation.Feb 18, 2026
toxoplasmosis3_1105177_091522_12.jpg
Recurrent toxoplasmosis with elevated IOP77 views48 year old man with 4 episodes over 40 years of vision loss from toxoplasmosis. His IOP was 44 on presentation.Feb 18, 2026
toxoplasmosis2_1105177_042522_11.jpg
Recurrent toxoplasmosis with elevated IOP69 views48 year old man with 4 episodes over 40 years of vision loss from toxoplasmosis. His IOP was 44 on presentation.Feb 18, 2026
toxoplasmosis1_1105177_032422_05.jpg
Recurrent toxoplasmosis with elevated IOP51 views48 year old man with 4 episodes over 40 years of vision loss from toxoplasmosis. His IOP was 44 on presentation.Feb 18, 2026
toxoplasmosis2_1105177_042522_10.jpg
Recurrent toxoplasmosis with elevated IOP53 views48 year old man with 4 episodes over 40 years of vision loss from toxoplasmosis. His IOP was 44 on presentation.Feb 18, 2026
toxoplasmosis1_1105177_032422_07.jpg
Recurrent toxoplasmosis with elevated IOP59 views48 year old man with 4 episodes over 40 years of vision loss from toxoplasmosis. His IOP was 44 on presentation.Feb 18, 2026
toxoplasmosis1_1105177_032422_02.jpg
Recurrent toxoplasmosis with elevated IOP72 views48 year old man with 4 episodes over 40 years of vision loss from toxoplasmosis. His IOP was 44 on presentation.Feb 18, 2026
ARN_104871_092320_04.jpg
Acute retinal necrosis102 views67 year old female Hazy vision in the right eye for 5 days.
Medical Hx: TYPE 2 DIAB.. Hypercholesterolemia.
Surgical Hx: COLECTOMY.
Systemic Meds: CRESTOR 10 MG QD. METFORMIN 500 MG QD. PROLIA Q 6 MOS. SULFA 800 MG/ TRIMETHOPRIM 160 MG TID. VALCYCLOVIR 1 GM TID. PROBIOTIC QD. CENTRUM 50+ QD. ALLERGY MED QD
VA 20/40, 20/20
IOP 19, 12
SLE: Trace AC cell OD and moderate vitreous cell OD
Jul 28, 2025
ARN_104871_092320_08.png
Acute retinal necrosis78 views67 year old female Hazy vision in the right eye for 5 days.
Medical Hx: TYPE 2 DIAB.. Hypercholesterolemia.
Surgical Hx: COLECTOMY.
Systemic Meds: CRESTOR 10 MG QD. METFORMIN 500 MG QD. PROLIA Q 6 MOS. SULFA 800 MG/ TRIMETHOPRIM 160 MG TID. VALCYCLOVIR 1 GM TID. PROBIOTIC QD. CENTRUM 50+ QD. ALLERGY MED QD
VA 20/40, 20/20
IOP 19, 12
SLE: Trace AC cell OD and moderate vitreous cell OD
Jul 28, 2025
ARN_104871_092320_07.png
Acute retinal necrosis92 views67 year old female Hazy vision in the right eye for 5 days.
Medical Hx: TYPE 2 DIAB.. Hypercholesterolemia.
Surgical Hx: COLECTOMY.
Systemic Meds: CRESTOR 10 MG QD. METFORMIN 500 MG QD. PROLIA Q 6 MOS. SULFA 800 MG/ TRIMETHOPRIM 160 MG TID. VALCYCLOVIR 1 GM TID. PROBIOTIC QD. CENTRUM 50+ QD. ALLERGY MED QD
VA 20/40, 20/20
IOP 19, 12
SLE: Trace AC cell OD and moderate vitreous cell OD
Jul 28, 2025
ARN_104871_092320_05.jpg
Acute retinal necrosis100 views67 year old female Hazy vision in the right eye for 5 days.
Medical Hx: TYPE 2 DIAB.. Hypercholesterolemia.
Surgical Hx: COLECTOMY.
Systemic Meds: CRESTOR 10 MG QD. METFORMIN 500 MG QD. PROLIA Q 6 MOS. SULFA 800 MG/ TRIMETHOPRIM 160 MG TID. VALCYCLOVIR 1 GM TID. PROBIOTIC QD. CENTRUM 50+ QD. ALLERGY MED QD
VA 20/40, 20/20
IOP 19, 12
SLE: Trace AC cell OD and moderate vitreous cell OD
Jul 28, 2025
ARN_104871_092320_06.jpg
Acute retinal necrosis83 views67 year old female Hazy vision in the right eye for 5 days.
Medical Hx: TYPE 2 DIAB.. Hypercholesterolemia.
Surgical Hx: COLECTOMY.
Systemic Meds: CRESTOR 10 MG QD. METFORMIN 500 MG QD. PROLIA Q 6 MOS. SULFA 800 MG/ TRIMETHOPRIM 160 MG TID. VALCYCLOVIR 1 GM TID. PROBIOTIC QD. CENTRUM 50+ QD. ALLERGY MED QD
VA 20/40, 20/20
IOP 19, 12
SLE: Trace AC cell OD and moderate vitreous cell OD
Jul 28, 2025
ARN_104871_092320_01.jpg
Acute retinal necrosis89 views67 year old female Hazy vision in the right eye for 5 days.
Medical Hx: TYPE 2 DIAB.. Hypercholesterolemia.
Surgical Hx: COLECTOMY.
Systemic Meds: CRESTOR 10 MG QD. METFORMIN 500 MG QD. PROLIA Q 6 MOS. SULFA 800 MG/ TRIMETHOPRIM 160 MG TID. VALCYCLOVIR 1 GM TID. PROBIOTIC QD. CENTRUM 50+ QD. ALLERGY MED QD
VA 20/40, 20/20
IOP 19, 12
SLE: Trace AC cell OD and moderate vitreous cell OD
Jul 28, 2025
ARN_104871_092320_03.jpg
Acute retinal necrosis117 views67 year old female Hazy vision in the right eye for 5 days.
Medical Hx: TYPE 2 DIAB.. Hypercholesterolemia.
Surgical Hx: COLECTOMY.
Systemic Meds: CRESTOR 10 MG QD. METFORMIN 500 MG QD. PROLIA Q 6 MOS. SULFA 800 MG/ TRIMETHOPRIM 160 MG TID. VALCYCLOVIR 1 GM TID. PROBIOTIC QD. CENTRUM 50+ QD. ALLERGY MED QD
VA 20/40, 20/20
IOP 19, 12
SLE: Trace AC cell OD and moderate vitreous cell OD
Jul 28, 2025
ARN_104871_092320_02.jpg
Acute retinal necrosis93 views67 year old female Hazy vision in the right eye for 5 days.
Medical Hx: TYPE 2 DIAB.. Hypercholesterolemia.
Surgical Hx: COLECTOMY.
Systemic Meds: CRESTOR 10 MG QD. METFORMIN 500 MG QD. PROLIA Q 6 MOS. SULFA 800 MG/ TRIMETHOPRIM 160 MG TID. VALCYCLOVIR 1 GM TID. PROBIOTIC QD. CENTRUM 50+ QD. ALLERGY MED QD
VA 20/40, 20/20
IOP 19, 12
SLE: Trace AC cell OD and moderate vitreous cell OD
Jul 28, 2025
syphilis3_119238_042024_31.jpg
Syphilitic Chorioretinitis - 2 month post-treatment150 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200Sep 18, 2024
syphilis3_119238_042024_30.jpg
Syphilitic Chorioretinitis - 2 month post-treatment156 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200Sep 18, 2024
syphilis2_119238_031824_29.jpg
Syphilitic Chorioretinitis - 1 month post-treatment150 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200Sep 18, 2024
syphilis2_119238_031824_28.jpg
Syphilitic Chorioretinitis - 1 month post-treatment145 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200Sep 18, 2024
syphilis1_119238_022724_27.jpg
Syphilitic Chorioretinitis142 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200Sep 18, 2024
syphilis1_119238_022724_26.jpg
Syphilitic Chorioretinitis150 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200Sep 18, 2024
syphilis1_119238_022724_25.jpg
Syphilitic Chorioretinitis137 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200Sep 18, 2024
syphilis1_119238_022724_24.jpg
Syphilitic Chorioretinitis177 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200Sep 18, 2024
syphilis1_119238_022724_23.jpg
Syphilitic Chorioretinitis132 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200Sep 18, 2024
syphilis1_119238_022724_22.jpg
Syphilitic Chorioretinitis158 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200Sep 18, 2024
syphilis1_119238_022724_21.jpg
Syphilitic Chorioretinitis158 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200Sep 18, 2024
syphilis1_119238_022724_20.jpg
Syphilitic Chorioretinitis132 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200Sep 18, 2024
syphilis1_119238_022724_19.jpg
Syphilitic Chorioretinitis98 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200Sep 18, 2024
syphilis1_119238_022724_18.jpg
Syphilitic Chorioretinitis160 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200Sep 18, 2024
syphilis1_119238_022724_16.jpg
Syphilitic Chorioretinitis152 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200Sep 18, 2024
syphilis1_119238_022724_17.jpg
Syphilitic Chorioretinitis151 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200Sep 18, 2024
syphilis1_119238_022724_15.jpg
Syphilitic Chorioretinitis151 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200Sep 18, 2024
syphilis1_119238_022724_14.jpg
Syphilitic Chorioretinitis141 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200Sep 18, 2024
syphilis1_119238_022724_13.jpg
Syphilitic Chorioretinitis154 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200Sep 18, 2024
syphilis1_119238_022724_12.jpg
Syphilitic Chorioretinitis154 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200Sep 18, 2024
syphilis1_119238_022724_11.jpg
Syphilitic Chorioretinitis161 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200Sep 18, 2024
syphilis1_119238_022724_10.jpg
Syphilitic Chorioretinitis159 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200Sep 18, 2024
syphilis1_119238_022724_09.jpg
Syphilitic Chorioretinitis150 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200Sep 18, 2024
syphilis1_119238_022724_08.jpg
Syphilitic Chorioretinitis131 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200Sep 18, 2024
syphilis1_119238_022724_02.jpg
Syphilitic Chorioretinitis139 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200Sep 18, 2024
syphilis1_119238_022724_07.jpg
Syphilitic Chorioretinitis166 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200Sep 18, 2024
syphilis1_119238_022724_01.jpg
Syphilitic Chorioretinitis141 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200Sep 18, 2024
syphilis1_119238_022724_06.jpg
Syphilitic Chorioretinitis114 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200Sep 18, 2024
syphilis1_119238_022724_05.jpg
Syphilitic Chorioretinitis125 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200Sep 18, 2024
syphilis1_119238_022724_04.jpg
Syphilitic Chorioretinitis138 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200Sep 18, 2024
syphilis1_119238_022724_03.jpg
Syphilitic Chorioretinitis147 views41 year old man with vision loss for five days left eye. VA 20/32, 20/200Sep 18, 2024
toxo-recurrent_110937_04262022_02.jpg
Recurrent toxoplasmosis123 views63 year old female with history of floaters and vision loss in the left eye.Sep 18, 2024
toxo-recurrent_110937_04262022_01.jpg
Recurrent toxoplasmosis141 views63 year old female with history of floaters and vision loss in the left eye.Sep 18, 2024
toxo-recurrent_110937_04262022_06.jpg
Recurrent toxoplasmosis125 views63 year old female with history of floaters and vision loss in the left eye.Sep 18, 2024
toxo-recurrent_110937_04262022_05.jpg
Recurrent toxoplasmosis125 views63 year old female with history of floaters and vision loss in the left eye.Sep 18, 2024
toxo-recurrent_110937_04262022_04.jpg
Recurrent toxoplasmosis128 views63 year old female with history of floaters and vision loss in the left eye.Sep 18, 2024
toxo-recurrent_110937_04262022_03.jpg
Recurrent toxoplasmosis118 views63 year old female with history of floaters and vision loss in the left eye.Sep 18, 2024
syph-on2_caarc_042123_33.JPG
Syphilitic optic neuritis219 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
Jul 02, 2023
syph-on2_caarc_042123_28.jpg
Syphilitic optic neuritis232 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
Jul 02, 2023
syph-on2_caarc_042123_32.JPG
Syphilitic optic neuritis243 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
Jul 02, 2023
syph-on2_caarc_042123_29.jpg
Syphilitic optic neuritis252 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
Jul 02, 2023
syph-on2_caarc_042123_31.jpg
Syphilitic optic neuritis275 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
Jul 02, 2023
syph-on2_caarc_042123_30.jpg
Syphilitic optic neuritis265 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
Jul 02, 2023
syph-on1_caarc_040423_27.jpg
Syphilitic optic neuritis206 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
Jul 02, 2023
syph-on1_caarc_040423_26.jpg
Syphilitic optic neuritis245 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
Jul 02, 2023
syph-on1_caarc_040423_25.jpg
Syphilitic optic neuritis240 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
Jul 02, 2023
syph-on1_caarc_040423_24.jpg
Syphilitic optic neuritis263 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
Jul 02, 2023
syph-on1_caarc_040423_23.jpg
Syphilitic optic neuritis226 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
Jul 02, 2023
syph-on1_caarc_040423_22.jpg
Syphilitic optic neuritis272 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
Jul 02, 2023
syph-on1_caarc_040423_21.jpg
Syphilitic optic neuritis261 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
Jul 02, 2023
syph-on1_caarc_040423_20.jpg
Syphilitic optic neuritis206 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
Jul 02, 2023
syph-on1_caarc_040423_19.jpg
Syphilitic optic neuritis212 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
Jul 02, 2023
syph-on1_caarc_040423_18.jpg
Syphilitic optic neuritis246 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
Jul 02, 2023
syph-on1_caarc_040423_17.jpg
Syphilitic optic neuritis242 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
Jul 02, 2023
syph-on1_caarc_040423_16.jpg
Syphilitic optic neuritis236 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
Jul 02, 2023
syph-on1_caarc_040423_15.jpg
Syphilitic optic neuritis253 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
Jul 02, 2023
syph-on1_caarc_040423_14.jpg
Syphilitic optic neuritis221 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
Jul 02, 2023
syph-on1_caarc_040423_01.jpg
Syphilitic optic neuritis251 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
Jul 02, 2023
syph-on1_caarc_040423_13.jpg
Syphilitic optic neuritis273 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
Jul 02, 2023
syph-on1_caarc_040423_12.jpg
Syphilitic optic neuritis250 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
Jul 02, 2023
syph-on1_caarc_040423_08.JPG
Syphilitic optic neuritis232 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
Jul 02, 2023
syph-on1_caarc_040423_11.jpg
Syphilitic optic neuritis271 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
Jul 02, 2023
syph-on1_caarc_040423_10.jpg
Syphilitic optic neuritis258 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
Jul 02, 2023
syph-on1_caarc_040423_09.jpg
Syphilitic optic neuritis252 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
Jul 02, 2023
syph-on1_caarc_040423_07.JPG
Syphilitic optic neuritis192 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
Jul 02, 2023
syph-on1_caarc_040423_05.jpg
Syphilitic optic neuritis264 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
Jul 02, 2023
syph-on1_caarc_040423_06.jpg
Syphilitic optic neuritis213 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
Jul 02, 2023
syph-on1_caarc_040423_02.jpg
Syphilitic optic neuritis281 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
Jul 02, 2023
syph-on1_caarc_040423_04.jpg
Syphilitic optic neuritis267 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
Jul 02, 2023
syph-on1_caarc_040423_03.jpg
Syphilitic optic neuritis271 viewsTwo weeks ago she woke up with blurred vision in the left eye. She usually gets up at 5 AM. Then she noticed a gray spot in the left eye that did not go away. This is new for her. The gray spot is not getting any better or worse in the left eye. (4/4/23)
Systemic Meds: Lisinopril 40 mg. metformin hydrochloride 1000 MG. nifedipine 30mg
VA OD: sc20/80 PH20/50 NscJ10
VA OS: sc2'/200 Nsc20/400
IOP: TP: OD:15 OS:16
No AC or vitreous cells - later images was with second eye involved with uveitis. Patient received IV PCN and was lost to follow-up
Jul 02, 2023
toxo_alwri1_041522_07.jpg
Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed648 views66 year old man The patient was doing fine until about 2-3 months ago.  He woke up with shadows and spots in the right eye.  Every blue moon he gets some pain in the right eye.  He has been getting treated with eye drops in the right eye.  Since this happened the vision is mostly the same.  Sometimes he sees better than other times.  He has not been treated with oral medications.  
Medical history: none – Medications: none, ROS negative
VA OD: sc20/63-1 OS: sc20/20
IOP: TP: OD:15 OS:20 
Negative labs: ACE, Lysozyme, RPR, HLA B27, Quant TB Gold, ESR (slight elevation of CRP)
PCR anterior chamber: negative herpes virus (HSV, VZV, CMV)
Positive for toxoplasmosis
Oct 01, 2022
toxo_alwri1_041522_31.jpg
Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed628 views66 year old man The patient was doing fine until about 2-3 months ago.  He woke up with shadows and spots in the right eye.  Every blue moon he gets some pain in the right eye.  He has been getting treated with eye drops in the right eye.  Since this happened the vision is mostly the same.  Sometimes he sees better than other times.  He has not been treated with oral medications.  
Medical history: none – Medications: none, ROS negative
VA OD: sc20/63-1 OS: sc20/20
IOP: TP: OD:15 OS:20 
Negative labs: ACE, Lysozyme, RPR, HLA B27, Quant TB Gold, ESR (slight elevation of CRP)
PCR anterior chamber: negative herpes virus (HSV, VZV, CMV)
Positive for toxoplasmosis
Oct 01, 2022
toxo_alwri1_041522_08.jpg
Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed631 views66 year old man The patient was doing fine until about 2-3 months ago.  He woke up with shadows and spots in the right eye.  Every blue moon he gets some pain in the right eye.  He has been getting treated with eye drops in the right eye.  Since this happened the vision is mostly the same.  Sometimes he sees better than other times.  He has not been treated with oral medications.  
Medical history: none – Medications: none, ROS negative
VA OD: sc20/63-1 OS: sc20/20
IOP: TP: OD:15 OS:20 
Negative labs: ACE, Lysozyme, RPR, HLA B27, Quant TB Gold, ESR (slight elevation of CRP)
PCR anterior chamber: negative herpes virus (HSV, VZV, CMV)
Positive for toxoplasmosis
Oct 01, 2022
toxo_alwri1_041522_30.jpg
Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed254 views66 year old man The patient was doing fine until about 2-3 months ago.  He woke up with shadows and spots in the right eye.  Every blue moon he gets some pain in the right eye.  He has been getting treated with eye drops in the right eye.  Since this happened the vision is mostly the same.  Sometimes he sees better than other times.  He has not been treated with oral medications.  
Medical history: none – Medications: none, ROS negative
VA OD: sc20/63-1 OS: sc20/20
IOP: TP: OD:15 OS:20 
Negative labs: ACE, Lysozyme, RPR, HLA B27, Quant TB Gold, ESR (slight elevation of CRP)
PCR anterior chamber: negative herpes virus (HSV, VZV, CMV)
Positive for toxoplasmosis
Oct 01, 2022
toxo_alwri1_041522_29.jpg
Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed265 views66 year old man The patient was doing fine until about 2-3 months ago.  He woke up with shadows and spots in the right eye.  Every blue moon he gets some pain in the right eye.  He has been getting treated with eye drops in the right eye.  Since this happened the vision is mostly the same.  Sometimes he sees better than other times.  He has not been treated with oral medications.  
Medical history: none – Medications: none, ROS negative
VA OD: sc20/63-1 OS: sc20/20
IOP: TP: OD:15 OS:20 
Negative labs: ACE, Lysozyme, RPR, HLA B27, Quant TB Gold, ESR (slight elevation of CRP)
PCR anterior chamber: negative herpes virus (HSV, VZV, CMV)
Positive for toxoplasmosis
Oct 01, 2022
toxo_alwri1_041522_28.jpg
Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed265 views66 year old man The patient was doing fine until about 2-3 months ago.  He woke up with shadows and spots in the right eye.  Every blue moon he gets some pain in the right eye.  He has been getting treated with eye drops in the right eye.  Since this happened the vision is mostly the same.  Sometimes he sees better than other times.  He has not been treated with oral medications.  
Medical history: none – Medications: none, ROS negative
VA OD: sc20/63-1 OS: sc20/20
IOP: TP: OD:15 OS:20 
Negative labs: ACE, Lysozyme, RPR, HLA B27, Quant TB Gold, ESR (slight elevation of CRP)
PCR anterior chamber: negative herpes virus (HSV, VZV, CMV)
Positive for toxoplasmosis
Oct 01, 2022
toxo_alwri1_041522_27.jpg
Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed239 views66 year old man The patient was doing fine until about 2-3 months ago.  He woke up with shadows and spots in the right eye.  Every blue moon he gets some pain in the right eye.  He has been getting treated with eye drops in the right eye.  Since this happened the vision is mostly the same.  Sometimes he sees better than other times.  He has not been treated with oral medications.  
Medical history: none – Medications: none, ROS negative
VA OD: sc20/63-1 OS: sc20/20
IOP: TP: OD:15 OS:20 
Negative labs: ACE, Lysozyme, RPR, HLA B27, Quant TB Gold, ESR (slight elevation of CRP)
PCR anterior chamber: negative herpes virus (HSV, VZV, CMV)
Positive for toxoplasmosis
Oct 01, 2022
toxo_alwri1_041522_26.jpg
Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed288 views66 year old man The patient was doing fine until about 2-3 months ago.  He woke up with shadows and spots in the right eye.  Every blue moon he gets some pain in the right eye.  He has been getting treated with eye drops in the right eye.  Since this happened the vision is mostly the same.  Sometimes he sees better than other times.  He has not been treated with oral medications.  
Medical history: none – Medications: none, ROS negative
VA OD: sc20/63-1 OS: sc20/20
IOP: TP: OD:15 OS:20 
Negative labs: ACE, Lysozyme, RPR, HLA B27, Quant TB Gold, ESR (slight elevation of CRP)
PCR anterior chamber: negative herpes virus (HSV, VZV, CMV)
Positive for toxoplasmosis
Oct 01, 2022
toxo_alwri1_041522_25.jpg
Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed252 views66 year old man The patient was doing fine until about 2-3 months ago.  He woke up with shadows and spots in the right eye.  Every blue moon he gets some pain in the right eye.  He has been getting treated with eye drops in the right eye.  Since this happened the vision is mostly the same.  Sometimes he sees better than other times.  He has not been treated with oral medications.  
Medical history: none – Medications: none, ROS negative
VA OD: sc20/63-1 OS: sc20/20
IOP: TP: OD:15 OS:20 
Negative labs: ACE, Lysozyme, RPR, HLA B27, Quant TB Gold, ESR (slight elevation of CRP)
PCR anterior chamber: negative herpes virus (HSV, VZV, CMV)
Positive for toxoplasmosis
Oct 01, 2022
toxo_alwri1_041522_24.jpg
Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed272 views66 year old man The patient was doing fine until about 2-3 months ago.  He woke up with shadows and spots in the right eye.  Every blue moon he gets some pain in the right eye.  He has been getting treated with eye drops in the right eye.  Since this happened the vision is mostly the same.  Sometimes he sees better than other times.  He has not been treated with oral medications.  
Medical history: none – Medications: none, ROS negative
VA OD: sc20/63-1 OS: sc20/20
IOP: TP: OD:15 OS:20 
Negative labs: ACE, Lysozyme, RPR, HLA B27, Quant TB Gold, ESR (slight elevation of CRP)
PCR anterior chamber: negative herpes virus (HSV, VZV, CMV)
Positive for toxoplasmosis
Oct 01, 2022
toxo_alwri1_041522_23.jpg
Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed260 views66 year old man The patient was doing fine until about 2-3 months ago.  He woke up with shadows and spots in the right eye.  Every blue moon he gets some pain in the right eye.  He has been getting treated with eye drops in the right eye.  Since this happened the vision is mostly the same.  Sometimes he sees better than other times.  He has not been treated with oral medications.  
Medical history: none – Medications: none, ROS negative
VA OD: sc20/63-1 OS: sc20/20
IOP: TP: OD:15 OS:20 
Negative labs: ACE, Lysozyme, RPR, HLA B27, Quant TB Gold, ESR (slight elevation of CRP)
PCR anterior chamber: negative herpes virus (HSV, VZV, CMV)
Positive for toxoplasmosis
Oct 01, 2022
toxo_alwri1_041522_22.jpg
Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed259 views66 year old man The patient was doing fine until about 2-3 months ago.  He woke up with shadows and spots in the right eye.  Every blue moon he gets some pain in the right eye.  He has been getting treated with eye drops in the right eye.  Since this happened the vision is mostly the same.  Sometimes he sees better than other times.  He has not been treated with oral medications.  
Medical history: none – Medications: none, ROS negative
VA OD: sc20/63-1 OS: sc20/20
IOP: TP: OD:15 OS:20 
Negative labs: ACE, Lysozyme, RPR, HLA B27, Quant TB Gold, ESR (slight elevation of CRP)
PCR anterior chamber: negative herpes virus (HSV, VZV, CMV)
Positive for toxoplasmosis
Oct 01, 2022
toxo_alwri1_041522_21.jpg
Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed302 views66 year old man The patient was doing fine until about 2-3 months ago.  He woke up with shadows and spots in the right eye.  Every blue moon he gets some pain in the right eye.  He has been getting treated with eye drops in the right eye.  Since this happened the vision is mostly the same.  Sometimes he sees better than other times.  He has not been treated with oral medications.  
Medical history: none – Medications: none, ROS negative
VA OD: sc20/63-1 OS: sc20/20
IOP: TP: OD:15 OS:20 
Negative labs: ACE, Lysozyme, RPR, HLA B27, Quant TB Gold, ESR (slight elevation of CRP)
PCR anterior chamber: negative herpes virus (HSV, VZV, CMV)
Positive for toxoplasmosis
Oct 01, 2022
toxo_alwri1_041522_20.jpg
Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed286 views66 year old man The patient was doing fine until about 2-3 months ago.  He woke up with shadows and spots in the right eye.  Every blue moon he gets some pain in the right eye.  He has been getting treated with eye drops in the right eye.  Since this happened the vision is mostly the same.  Sometimes he sees better than other times.  He has not been treated with oral medications.  
Medical history: none – Medications: none, ROS negative
VA OD: sc20/63-1 OS: sc20/20
IOP: TP: OD:15 OS:20 
Negative labs: ACE, Lysozyme, RPR, HLA B27, Quant TB Gold, ESR (slight elevation of CRP)
PCR anterior chamber: negative herpes virus (HSV, VZV, CMV)
Positive for toxoplasmosis
Oct 01, 2022
toxo_alwri1_041522_19.jpg
Toxoplasmosis right eye with diffuse retinal vascular whitening PCR confirmed249 views66 year old man The patient was doing fine until about 2-3 months ago.  He woke up with shadows and spots in the right eye.  Every blue moon he gets some pain in the right eye.  He has been getting treated with eye drops in the right eye.  Since this happened the vision is mostly the same.  Sometimes he sees better than other times.  He has not been treated with oral medications.  
Medical history: none – Medications: none, ROS negative
VA OD: sc20/63-1 OS: sc20/20
IOP: TP: OD:15 OS:20 
Negative labs: ACE, Lysozyme, RPR, HLA B27, Quant TB Gold, ESR (slight elevation of CRP)
PCR anterior chamber: negative herpes virus (HSV, VZV, CMV)
Positive for toxoplasmosis
Oct 01, 2022
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