Punctate outer retinal toxoplasmosis in an HIV-positive child.
OBJECTIVE
To discover whether the outer layer of the retina can be the site for toxoplasmosis in AIDS patients.


METHODS
An HIV-positive child, who previously had a normal ocular examination, was reexamined three months later. This examination showed outer retinal lesions compatible with toxoplasmosis and positive IgM and IgG titers specific for that organism, despite the small drop in the CD4 count.


RESULTS
During the first examination, the antibodies for toxoplasmosis were negative. At the three-months follow-up, the anti-toxoplasmosis antibodies were positive and the rest of the workup was negative, suggesting a strong correlation with the patient's fundus pattern.


CONCLUSIONS
We describe a case of punctate outer retinal toxoplasmosis uveitis, which has been previously associated with immunocompetent hosts. We, however, believe that it can be seen in immunocompromised patients as well.
Federal University of Rio de Janeiro, University Hospital, Department of Ophthalmology, Brazil Rio de Janeiro. haroldjr@alternex.com.br
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Moraes
D002648:Child; D002921:Cicatrix / Q000209:etiology / Q000473:pathology; D005260:Female; D006679:HIV Seropositivity / Q000150:complications*; D006801:Humans; D012160:Retina / Q000473:pathology; D012164:Retinal Diseases / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D012698:Serologic Tests; D014126:Toxoplasmosis, Ocular / Q000150:complications* / Q000175:diagnosis / Q000473:pathology