title: Toxoplasmosis with chorioretinitis in an HIV-infected child with no visual complaints-importance of fundus examination.
abstract: Central nervous system lesions are common in HIV-infected patients. In the combination anti-retroviral therapy (ART) era,Toxoplasmareactivation has been observed only in patients with unrecognized HIV infection or refusing therapy. We present the case of 10-year-old girl with AIDS who initially presented with pneumonia. She was treated for pneumonia and thereafter started on ART as her CD4 count was low. However, 5 days after starting ART she presented with left ptosis and right-sided monoparesis. She was diagnosed with neurotoxoplasmosis and responded successfully to pyrimethamine-sulfadoxine therapy. Though she had no vision difficulties, her fundus examination revealed chorioretinitis during the hospital stay. We emphasize the importance of routine fundus examination prior to starting ART to rule out chorioretinitis even in an older child with no visual complaints.
authors.affiliation: Department of Pediatrics , Bai Jerbai Wadia Hospital for Children , Parel, Mumbai , India.
authors.forename: Noella Maria Delia
authors.initials: NM
authors.lastname: Pereira
authors.affiliation: Department of Pediatrics and Incharge HIV Clinic , Bai Jerbai Wadia Hospital for Children , Parel, Mumbai , India.
authors.forename: Ira
authors.initials: I
authors.lastname: Shah
authors.affiliation: HIV Clinic , Bai Jerbai Wadia Hospital for Children , Parel, Mumbai , India.
authors.forename: Mamatha
authors.initials: M
authors.lastname: Lala