TY - JOUR
T1 - Management of Systemic Steroid in HIV Patient with toxoplasma papillitis
AU - Putrawati Triningrat, A. A.Mas
AU - Dewi, Ratna Sari
AU - Juliari, Igam
AU - Susila, N. K.Niti
AU - Surasmiati, Ni Made Ayu
AU - Agus Somia, I. Ketut
N1 - Publisher Copyright:
© 2019 AA Mas Putrawati Triningrat, Ratna Sari Dewi, Igam Juliari, NK Niti Susila, Ni Made Ayu Surasmiati, I Ketut Agus Somia.
PY - 2019/6/15
Y1 - 2019/6/15
N2 - BACKGROUND: Toxoplasmosis is a zoonotic disease caused by Toxoplasma gondii. Ocular manifestations are seen in both congenital and acquired toxoplasmosis. These can include focal inflammation within or around the optic nerve head (papillitis). Purpose of this study is evaluating the efficacy of systemic steroid in HIV patient with toxoplasma papillitis. CASE PRESENTATION: We present a case report of a male, 46 years old with a decrease of visual acuity on the right eye for three weeks before admission to the hospital. An ophthalmology examination showed visual acuity of the right eye 1/60, mild dilatation of the pupil and posterior synechiae, vitreous was hazy, and fundus examination showed optic nerve head not well demarcated and hyperaemic with the good retina and macula reflex. Laboratory examination showed reactive anti-Toxoplasma immunoglobulin G. Patient had been treated with antiretroviral and anti-Toxoplasma drugs, then he was given steroid 250 mg intravenously four times per day for three days and tapering off orally. Visual acuity on the right eye improve from 1/60 became 6/60 after use of steroid on the third day. DISCUSSION: Steroid can improve visual acuity for toxoplasma papillitis in this patient. But the long term and close follow up in steroid therapy is needed.
AB - BACKGROUND: Toxoplasmosis is a zoonotic disease caused by Toxoplasma gondii. Ocular manifestations are seen in both congenital and acquired toxoplasmosis. These can include focal inflammation within or around the optic nerve head (papillitis). Purpose of this study is evaluating the efficacy of systemic steroid in HIV patient with toxoplasma papillitis. CASE PRESENTATION: We present a case report of a male, 46 years old with a decrease of visual acuity on the right eye for three weeks before admission to the hospital. An ophthalmology examination showed visual acuity of the right eye 1/60, mild dilatation of the pupil and posterior synechiae, vitreous was hazy, and fundus examination showed optic nerve head not well demarcated and hyperaemic with the good retina and macula reflex. Laboratory examination showed reactive anti-Toxoplasma immunoglobulin G. Patient had been treated with antiretroviral and anti-Toxoplasma drugs, then he was given steroid 250 mg intravenously four times per day for three days and tapering off orally. Visual acuity on the right eye improve from 1/60 became 6/60 after use of steroid on the third day. DISCUSSION: Steroid can improve visual acuity for toxoplasma papillitis in this patient. But the long term and close follow up in steroid therapy is needed.
KW - HIV
KW - Steroid
KW - Toxoplasma papillitis
UR - http://www.scopus.com/inward/record.url?scp=85070379179&partnerID=8YFLogxK
U2 - 10.3889/oamjms.2019.488
DO - 10.3889/oamjms.2019.488
M3 - Article
AN - SCOPUS:85070379179
SN - 1857-5749
VL - 7
SP - 1821
EP - 1824
JO - Open Access Macedonian Journal of Medical Sciences
JF - Open Access Macedonian Journal of Medical Sciences
IS - 11
ER -