Uncommon progression of toxoplasmic papillitis: patient perception and case report
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Oftalmologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802021000500503 |
Resumo: | ABSTRACT Ocular toxoplasmosis frequently presents as necrotizing retinochoroiditis and, less often, as peripapillary chorioretinitis and/or papillitis. The progression from papillitis to peripapillary retinochoroiditis has been rarely described. We report the case of a 52-year-old patient living in southern Brazil, who developed papillitis in the right eye and was treated with systemic corticosteroids (prednisone 0.6 mg/kg/day and pulse therapy with methylprednisolone 15 mg/kg/day, for 3 days). After 14 days, the patient developed peripapillary retinochoroiditis with vitritis and decreased visual acuity (20/60), and was immediately initiated on the classic oral treatment for toxoplasmosis, consisting of pyrimethamine (50 mg/day), sulfadiazine (4 g/day), folinic acid (15 mg every 3 days) and prednisone (0.6 mg/kg/day). The visual acuity of the right eye normalized after treatment (20/20), which lasted approximately 70 days, but scotomas were detected on visual field examination, especially in the lower nasal quadrant. Although two studies mentioned this presentation, our report emphasizes the possible manifestation of ocular toxoplasmosis as papillitis in the initial phase, with progression to peripapillary retinochoroiditis and permanent visual field defects, which justifies early treatment for toxoplasmosis in suspected cases, especially in endemic regions. |
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Uncommon progression of toxoplasmic papillitis: patient perception and case reportToxoplasmosis, ocularPapilledemaChoroiditisDrug-related side effects and adverse reactionsABSTRACT Ocular toxoplasmosis frequently presents as necrotizing retinochoroiditis and, less often, as peripapillary chorioretinitis and/or papillitis. The progression from papillitis to peripapillary retinochoroiditis has been rarely described. We report the case of a 52-year-old patient living in southern Brazil, who developed papillitis in the right eye and was treated with systemic corticosteroids (prednisone 0.6 mg/kg/day and pulse therapy with methylprednisolone 15 mg/kg/day, for 3 days). After 14 days, the patient developed peripapillary retinochoroiditis with vitritis and decreased visual acuity (20/60), and was immediately initiated on the classic oral treatment for toxoplasmosis, consisting of pyrimethamine (50 mg/day), sulfadiazine (4 g/day), folinic acid (15 mg every 3 days) and prednisone (0.6 mg/kg/day). The visual acuity of the right eye normalized after treatment (20/20), which lasted approximately 70 days, but scotomas were detected on visual field examination, especially in the lower nasal quadrant. Although two studies mentioned this presentation, our report emphasizes the possible manifestation of ocular toxoplasmosis as papillitis in the initial phase, with progression to peripapillary retinochoroiditis and permanent visual field defects, which justifies early treatment for toxoplasmosis in suspected cases, especially in endemic regions.Sociedade Brasileira de Oftalmologia2021-01-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802021000500503Revista Brasileira de Oftalmologia v.80 n.5 2021reponame:Revista Brasileira de Oftalmologia (Online)instname:Sociedade Brasileira de Oftalmologia (SBO)instacron:SBO10.37039/1982.8551.20210036info:eu-repo/semantics/openAccessBonamigo,Elcio LuizRossi,Eglas EmanuelRosa,Maria do Carmo Nunes daStock,Ricardo AlexandreSampaio,Rodrigo RosaLora,Ronei Carloseng2021-09-24T00:00:00Zoai:scielo:S0034-72802021000500503Revistahttps://rbo.emnuvens.com.br/rbo/indexhttps://old.scielo.br/oai/scielo-oai.phpsob@sboportal.org.br||rbo@sboportal.org.br1982-85510034-7280opendoar:2021-09-24T00:00Revista Brasileira de Oftalmologia (Online) - Sociedade Brasileira de Oftalmologia (SBO)false |
dc.title.none.fl_str_mv |
Uncommon progression of toxoplasmic papillitis: patient perception and case report |
title |
Uncommon progression of toxoplasmic papillitis: patient perception and case report |
spellingShingle |
Uncommon progression of toxoplasmic papillitis: patient perception and case report Bonamigo,Elcio Luiz Toxoplasmosis, ocular Papilledema Choroiditis Drug-related side effects and adverse reactions |
title_short |
Uncommon progression of toxoplasmic papillitis: patient perception and case report |
title_full |
Uncommon progression of toxoplasmic papillitis: patient perception and case report |
title_fullStr |
Uncommon progression of toxoplasmic papillitis: patient perception and case report |
title_full_unstemmed |
Uncommon progression of toxoplasmic papillitis: patient perception and case report |
title_sort |
Uncommon progression of toxoplasmic papillitis: patient perception and case report |
author |
Bonamigo,Elcio Luiz |
author_facet |
Bonamigo,Elcio Luiz Rossi,Eglas Emanuel Rosa,Maria do Carmo Nunes da Stock,Ricardo Alexandre Sampaio,Rodrigo Rosa Lora,Ronei Carlos |
author_role |
author |
author2 |
Rossi,Eglas Emanuel Rosa,Maria do Carmo Nunes da Stock,Ricardo Alexandre Sampaio,Rodrigo Rosa Lora,Ronei Carlos |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Bonamigo,Elcio Luiz Rossi,Eglas Emanuel Rosa,Maria do Carmo Nunes da Stock,Ricardo Alexandre Sampaio,Rodrigo Rosa Lora,Ronei Carlos |
dc.subject.por.fl_str_mv |
Toxoplasmosis, ocular Papilledema Choroiditis Drug-related side effects and adverse reactions |
topic |
Toxoplasmosis, ocular Papilledema Choroiditis Drug-related side effects and adverse reactions |
description |
ABSTRACT Ocular toxoplasmosis frequently presents as necrotizing retinochoroiditis and, less often, as peripapillary chorioretinitis and/or papillitis. The progression from papillitis to peripapillary retinochoroiditis has been rarely described. We report the case of a 52-year-old patient living in southern Brazil, who developed papillitis in the right eye and was treated with systemic corticosteroids (prednisone 0.6 mg/kg/day and pulse therapy with methylprednisolone 15 mg/kg/day, for 3 days). After 14 days, the patient developed peripapillary retinochoroiditis with vitritis and decreased visual acuity (20/60), and was immediately initiated on the classic oral treatment for toxoplasmosis, consisting of pyrimethamine (50 mg/day), sulfadiazine (4 g/day), folinic acid (15 mg every 3 days) and prednisone (0.6 mg/kg/day). The visual acuity of the right eye normalized after treatment (20/20), which lasted approximately 70 days, but scotomas were detected on visual field examination, especially in the lower nasal quadrant. Although two studies mentioned this presentation, our report emphasizes the possible manifestation of ocular toxoplasmosis as papillitis in the initial phase, with progression to peripapillary retinochoroiditis and permanent visual field defects, which justifies early treatment for toxoplasmosis in suspected cases, especially in endemic regions. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802021000500503 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-72802021000500503 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.37039/1982.8551.20210036 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Oftalmologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Oftalmologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Oftalmologia v.80 n.5 2021 reponame:Revista Brasileira de Oftalmologia (Online) instname:Sociedade Brasileira de Oftalmologia (SBO) instacron:SBO |
instname_str |
Sociedade Brasileira de Oftalmologia (SBO) |
instacron_str |
SBO |
institution |
SBO |
reponame_str |
Revista Brasileira de Oftalmologia (Online) |
collection |
Revista Brasileira de Oftalmologia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Oftalmologia (Online) - Sociedade Brasileira de Oftalmologia (SBO) |
repository.mail.fl_str_mv |
sob@sboportal.org.br||rbo@sboportal.org.br |
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1752122339511762944 |