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TitleRe-activation of toxoplasmosis post-steroid treatment of ocular tuberculosis – a case report
PurposeWe present a rare case of toxoplasmosis re-activation post steroid treatment of ocular tuberculosis (TB).
MethodsA 37-year-old female with ocular TB was commenced on 40mg of oral steroids after failing three months of anti-tuberculosis treatment. After two weeks of steroid treatment, the patient reported a significant decline in her vision.
ResultsA new white retinitis lesion was identified in the macular region of the posterior pole of the left eye. Toxoplasmosis serology was positive and the patient was treated with azithromycin, which resolved the lesion at the macular.
ConclusionThe patient developed retinal atrophy on the fovea and is unlikely to have any improvement in vision in her left eye.
Conflict of interestNo
Authors 1
Last nameJAMALL
InitialsO
DepartmentMaidstone Ophthalmology Department
CityMaidstone
Authors 2
Last nameAlmeida
InitialsG
DepartmentMaidstone Ophthalmology Department
CityMaidstone
Authors 3
Last nameKerwat
InitialsD
DepartmentMaidstone Ophthalmology Department
CityMaidstone
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