Identifier |
95_42 |
Title |
Systemic Disorders With Optic Nerve and Retinal Findings |
Creator |
Larry P. Frohman, MD |
Affiliation |
UMDNJ-New Jersey Medical School |
Contributing Institution |
AAO/NANOS - American Academy of Ophthalmology / North American Neuro-Ophthalmology Society |
Subject |
Toxoplasmosis |
Description |
This 25-year-old man presented to the eye service with a history of 3 days of decreased vision OD. His past medical history was unremarkable. His examination showed acuities of 20/25 OU, with intact color plates, a 0.3 log unit of RAPD OD, and an inferior arcuate scotoma. The photos (Images 95_42, 95_43, and 95_44) show his vitreous of the right eye. MRI of the orbits and head was normal, and a spinal tap showed protein = 45 mg/dl, with 0 white cells; the cryptococcal antigen was negative, IgG = 3.8 mg/dl; cytology, cultures, and oligoclonal banding were all negative. Serologic evaluation included a normal Lyme by Western blot; serum protein electrophoresis was negative; CBC, ACE, and RPR were all normal. The toxoplasmosis titer was IgG > 200 (normal < 25 IU/ml) and the AMV IgG = 2.9 u/ml (<1.0). He was treated with clindamycin, Bactrim, and Daraprim for presumed toxoplasmic juxtapapillary choroiditis. Pair with 95_43 and 95_44. |
Date |
1999 |
Date Digital |
2004 |
Language |
eng |
Format |
image/jpeg |
Type |
Image |
Source |
AAO/NANOS Clinical neuro-ophthalmology : image collection for ophthalmic practitioners. American Academy of Ophthalmology [electronic resource], [San Francisco, Calif.] : AAO, c1999. |
Relation is Part of |
Case 53 |
Collection |
Neuro-Ophthalmology Virtual Education Library: AAO-NANOS Neuro-Ophthalmology Clinical Collection: https://NOVEL.utah.edu/AAO |
Publisher |
North American Neuro-Ophthalmology Society |
Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
Rights Management |
Copyright 1999. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
ARK |
ark:/87278/s6pp257k |
Setname |
ehsl_novel_aao_nanos |
ID |
176853 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6pp257k |