Acute papillitis in young female with toxoplasmosis

Abstract

Papillitis and complicating acute toxoplasma retinochoroiditis, are unusual and atypical features of toxoplasmosis. This report presents a female with unusual acute papillitis. This patient had an active toxoplasmic chorioretinitis lesion that appeared to involve the optic nerve head and a major blood vessel as well as central nervous systems (CNS). Papillitis may be secondary to juxtapapillary retinitis (Jensen choroiditis). Very rarely, the optic nerve head may be the primary site of involvement. This case report illustrates a rare presentation of acute papillitis in a young immunocompetent female.

Management of Systemic Steroid in HIV Patient with Toxoplasma Papillitis

“…Toxoplasma papillitis is a rare manifestation of Toxoplasma, usually unilateral and does not have a predilection of gender. Clinical symptoms such as blurry vision, red eyes, pain, also causing systemic fever and general weakness [6], [10].…”

“…In severe vitreous can develop into epiretinal membrane and traction, headlight in the fog is found on fundus examination. Rare manifestations such as inflammation by Toxoplasma in the optic nerve head with hyperemia fundus images on the optic nerve head [3], [6], [9], [10].…”

“…The diagnosis of toxoplasma papillitis confirmed through fundal examination and supporting clinical features. If the clinical diagnosis cannot be confirmed through fundus examination, supporting examination such as increased detection of Toxoplasma gondii antibody titers in eye fluids or Toxoplasma gondii DNA and antibody tests in the blood [3], [6], [9], [10].…”

“…Toxoplasma papillitis mostly unilateral, and there is no predilection of gender. Clinical symptoms that appear in the form of blurry vision, red eyes, pain, and systemic symptoms such as fever and weakness [6], [7], [8], [9], [10].…”

Toxoplasmosis Neuroretinitis: A Case Report

“…Other types of optic nerve involvement include pure papillitis presented as optic disc swelling, associated with peripapillary vascular sheathing close to the healed lesion, and neuroretinitis, i.e., optic disc swelling with macular hard exudate deposition. Additionally, monocular involvement has been observed in most cases with favorable visual prognosis ( 8 ).…”