Presumed Ocular Toxoplasmosis Presenting as Isolated Unilateral Papillitis

Abstract

optic neuritis. A thorough serologic examination for toxoplasmosis along with proper treatment should be performed.

Optic perineuritis as an initial presentation of ocular toxoplasmosis: a case report

“…AIDS diagnosed during evaluation. Lee et al [12] F/53 None Optic disc swelling with focal edema and hard exudates in nasal parapapillary retina Serum IgM and IgG positive.…”

“…The low prevalence of optic nerve involvement in ocular toxoplasmosis, such as pure papillitis without concomitant chorioretinal inflammation, contributes to diagnostic challenges [2][3][4]8] . As summarized in Table 1 [5,[9][10][11][12] , a few cases presenting with optic nerve lesions were diagnosed later as ocular toxoplasmosis based on subsequent typical retinochoroidal inflammation several weeks after optic nerve Int J Ophthalmol, Vol. 15, No.…”

“…A case of toxoplasmosis involving the optic nerve and orbital tissue has been reported as the initial manifestation of undiagnosed HIV infection [11] , while ours was a case of perineuritis in an immunocompetent individual. A positive toxoplasmosis serology can provide additional clues for diagnosis in cases of isolated optic nerve involvement [12] . Serum anti-toxoplasma IgM levels can increase, and its titer can rise within 1-2wk of infection and become undetectable after 6-9mo [1] .…”