Serpiginous choroiditis-like picture due to ocular toxoplasmosis.
OBJECTIVE
To report an atypical presentation of ocular toxoplasmosis in the form of serpiginous choroiditis-like picture in an immunocompetent individual.


METHODS



METHODS
A 32-year-old man with blurred vision in the left eye showed serpiginous choroiditis-like appearance. Fundus fluorescein angiography and relevant laboratory tests including anti-toxoplasma serology and polymerase chain reaction (PCR) in aqueous humor were performed.


RESULTS
The serology in blood and PCR in aqueous humor were positive for Toxoplasma gondii infection. The patient was treated with anti-toxoplasma antimicrobials and systemic steroids. At the end of six weeks of treatment the fundus lesions had healed well, with good visual recovery.


CONCLUSIONS
Serpiginous choroiditis-like picture can be an atypical manifestation of ocular Toxoplasma gondii infection.
Mahendradas
Padmamalini
P
Department of Uveitis and Ocular Immunology, Narayana Nethralaya, Bangalore, India. m.padmamalini@gmail.com
Kamath
Girish
G
Mahalakshmi
B
B
Shetty
K Bhujang
KB
D000328:Adult; D000818:Animals; D000913:Antibodies, Protozoan / Q000276:immunology; D001082:Aqueous Humor / Q000469:parasitology; D002833:Choroiditis / Q000209:etiology* / Q000473:pathology; D016054:DNA, Protozoan / Q000032:analysis; D003937:Diagnosis, Differential; D005451:Fluorescein Angiography; D005500:Follow-Up Studies; D005654:Fundus Oculi; D006801:Humans; D008297:Male; D016133:Polymerase Chain Reaction; D014122:Toxoplasma / Q000235:genetics / Q000276:immunology; D014126:Toxoplasmosis, Ocular / Q000150:complications* / Q000473:pathology
D000913:Antibodies, Protozoan; D016054:DNA, Protozoan