A case of recurrence of congenital ocular toxoplasmosis with frosted branch angiitis (ocular toxoplasmosis with frosted branch angiitis).

Abstract

PURPOSE:

To describe a case of recurrence of congenital ocular toxoplasmosis with frosted branch angiitis.

CASE REPORT:

A 24-year-old woman presented with hyperemia in her right eye. Medical history included epilepsy at age 14 and mild mental retardation. Iridocyclitis and vitreous opacity were observed in the right eye, and furthermore widespread retinal vessel sheathing due to frosted branch angiitis was seen. Acyclovir was initiated for acute retinal necrosis with frosted branch angiitis. One week later, serologic tests showed elevated toxoplasma antibody level and toxoplasma antibody IgG level, and a white retinal exudative lesion with unclear margins was noted. Therefore, acetylspiramycin and prednisolone were initiated for a recurrence of congenital ocular toxoplasmosis. After treatment, inflammation subsided, the exudative lesion shrank, and the frosted branch angiitis improved.

CONCLUSION:

We encountered a case of ocular toxoplasmosis due to recurrence of congenital toxoplasmosis with frosted branch angiitis. The clinical symptoms of ocular toxoplasmosis can be varied and the diagnosis should be kept in mind.

• Authors: Takahiro Suzuki, Hiromi Onouchi, Yoshihiro Nakagawa, Hideki Oohashi, Han Kaiken, Kenji Kawai
• Journal: The Tokai journal of experimental and clinical medicine (Tokai J Exp Clin Med) Vol. 35 Issue 4 Pg. 122-5 (Dec 20 2010) ISSN: 2185-2243 [Electronic] Japan
• PMID: 21319040 (Publication Type: Case Reports, Journal Article)

Chemical References

• Antibodies

Topics

• Antibodies (blood)
• Female
• Humans
• Recurrence
• Toxoplasma (immunology)
• Toxoplasmosis, Congenital (complications, pathology, prevention & control)
• Toxoplasmosis, Ocular (etiology, pathology)
• Vasculitis (congenital, pathology)
• Young Adult