Rev Bras Oftalmol.2021;80(6):e0057

Systemic toxoplasmosis associated to the atypical bilateral ocular involvement mimicking acute retinal necrosis

Paula Virginia Brom dos Santos , Priscilla Fernandes , Guilherme Novoa , Marcello Novoa , Marta Fabiane Gouvêa

DOI: 10.37039/1982.8551.20210057

Abstract

Ocular toxoplasmosis can present with an atypical, rare, bilateral involvement, and associated with acute retinal necrosis. It occurs in immunosuppressed patients, resulting in severe visual loss, if not quickly solved. We report an atypical case of ocular toxoplasmosis in a diabetic patient, who already showed a systemic aspect in a previous hospitalization, which was elucidated by the ophthalmologic examination and history. In addition, the routine of the uveitis sector requesting serology in a directed and careful way was essential for the diagnosis of systemic toxoplasmosis associated with atypical bilateral ocular lesion, mimicking acute retinal necrosis with good outcome.

Systemic toxoplasmosis associated to the atypical bilateral ocular involvement mimicking acute retinal necrosis

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