ISSN 2757-8135 | E-ISSN 2757-9816
European Eye Research
Presumed acute unilateral toxoplasma papillitis without vitritis: A case report [Eur Eye Res]
Eur Eye Res. Ahead of Print: EER-05924 | DOI: 10.14744/eer.2024.05924

Presumed acute unilateral toxoplasma papillitis without vitritis: A case report

Kasim Aktas1, Mehmet Canleblebici2, Mehmet Balbaba1, Hakan Yildirim1
1Department of Ophthalmology, Firat University, Faculty of Medicine, Elazig, Türkiye
2Department of Ophthalmology, Kayseri State Hospital, Kayseri, Türkiye

Ocular toxoplasmosis is the most common cause of infectious retinochoroiditis in humans. Atypical and unilateral presentations such as papillitis without vitritis are especially challenging for diagnosis. Here, we report a case of a 17-year-old man with unilateral Toxoplasma papillitis without vitritis. Fundus examination revealed unilateral inflammation in the right optic disc and peripapillary area. Toxoplasma immunoglobulin (Ig)M titer was positive and IgG negative. During the follow-up, while the IgM titer decreased, the IgG titer increased. After possible etiologies were excluded, the patient was diagnosed with presumed Toxoplasma papillitis with a complete absence of vitritis at presentation. The patient was treated with appropriate antiparasitic agents and good response was observed without recurrence.

Keywords: Ocular toxoplasmosis, Papillitis, Toxoplasma immunoglobulin M.



Corresponding Author: Mehmet Canleblebici, Türkiye
Manuscript Language: English