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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 580 veces
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 570 veces2 weeks after starting treatment - lesion is involuting
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 567 veces
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 563 veces
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 555 veces
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 522 vecesVideo - OCT takes time to load
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 514 vecesAnterior Uveitis
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 503 vecesAnterior Uveitis
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 495 vecesAnterior Uveitis
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 493 veces2 weeks after starting treatment - lesion is involuting
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 487 veces
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 479 vecesAnterior Uveitis
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 474 veces
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 472 veces
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 468 veces2 weeks after starting treatment - lesion is involuting
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 465 vecesFA shows Dark Spot
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 462 vecesSerous Retinal Detachment Associated with Lesion
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 459 veces
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 456 veces
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 451 veces
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 440 vecesSerous Retinal Detachment Associated with Lesion
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 428 vecesSerous Retinal Detachment Associated with Lesion
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 422 veces
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 413 veces
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 413 veces
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Toxoplasmosis Retinitis - Vitritis and Anerior Uveitisvista 399 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.