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Más vistos - 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 Uveitisvista 623 veces
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 598 veces2 weeks after starting treatment - lesion is involuting
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 592 veces
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 584 veces
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 578 veces
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 554 vecesVideo - OCT takes time to load
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 533 vecesAnterior Uveitis
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 532 vecesAnterior Uveitis
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 525 veces2 weeks after starting treatment - lesion is involuting
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 522 veces2 weeks after starting treatment - lesion is involuting
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 515 veces
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 510 vecesAnterior Uveitis
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 507 vecesAnterior Uveitis
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 503 veces
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 500 veces
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 499 vecesSerous Retinal Detachment Associated with Lesion
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 489 vecesFA shows Dark Spot
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 479 veces
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 470 veces
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 469 veces
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 461 vecesSerous Retinal Detachment Associated with Lesion
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 460 vecesSerous Retinal Detachment Associated with Lesion
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 452 veces
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 442 veces
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 435 veces
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 429 veces
   
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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.