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Multiple Granulomas of Ocular Toxocariasis in an Immunocompetent Male

Authors :
Pranab K. Das
Vishali Gupta
Aman Kumar
S. C. Sharma
Aniruddha Agarwal
Shobha Sehgal
Kanika Aggarwal
Source :
Ocular Immunology and Inflammation. 28:111-115
Publication Year :
2019
Publisher :
Informa UK Limited, 2019.

Abstract

A 25-year-old male presented with unilateral panuveitis with multiple voluminous elevated retinal lesions along with subretinal fluid and exudation. An extensive laboratory work-up was done, and a clinical suspicion of viral retinitis was considered. The patient was initiated on antiviral therapy and, subsequently, oral corticosteroids. As the corticosteroids were tapered, the patient developed worsening lesions and vitreous inflammation. Pars plana vitrectomy (diagnostic and therapeutic) was performed and cytology sample revealed a highly eosinophilic infiltrate suggestive of parasitic infection. The real-time polymerase chain reaction was positive for Toxocara cati. The diagnosis of ocular toxocariasis was made. This case highlights a highly unusual presentation where multiple retinal granulomas of ocular toxocariasis were observed in an immunocompetent male.

Details

ISSN :
17445078 and 09273948
Volume :
28
Database :
OpenAIRE
Journal :
Ocular Immunology and Inflammation
Accession number :
edsair.doi...........443620754af09be405818f7aa60d4f77