Ocular Toxoplasmosis after Exposure to Wild Game.

Autor: Conrady CD; Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan, USA., Besirli CG; Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan, USA., Baumal CR; New England Eye Center, Department of Ophthalmology, Tufts University, Boston, Massachusetts, USA., Kovach JL; Department of Ophthalmology and Visual Sciences, University of Miami, Miami, Florida, USA., Etzel JD; Department of Ophthalmology and Visual Sciences, Geisinger Medical Center, Danville, Pennsylvania, USA., Tsui JC; Department of Ophthalmology and Visual Sciences, Geisinger Medical Center, Danville, Pennsylvania, USA., Elner SG; Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan, USA., Johnson MW; Department of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, Michigan, USA.
Jazyk: angličtina
Zdroj: Ocular immunology and inflammation [Ocul Immunol Inflamm] 2022 Apr 03; Vol. 30 (3), pp. 527-532. Date of Electronic Publication: 2021 Feb 09.
DOI: 10.1080/09273948.2020.1854316
Abstrakt: Purpose: To describe eight patients with toxoplasma retinochoroiditis following exposure to wild game.
Methods: Retrospective, multicenter case series.
Results: Eight men, aged 29 to 71 (mean, 56 years), developed toxoplasmic retinochoroiditis after hunting and/or consuming wild game in the United States, including seven deer and one bear. Five patients developed the disease after eating undercooked game meat, while three developed ocular findings after cleaning hunted animals. Seven patients were healthy prior to exposure. LogMAR visual acuity at presentation was 0.697 ± 0.745, improving to 0.256 ± 0.335 by last follow-up. Disease complications developed in five (62.5%) patients, of which recurrence of retinochoroiditis was the most common.
Conclusions: Contact with wild game is a potential source of primary ocular toxoplasmosis in immunocompetent adults. Hunters and consumers of rare game are at risk of serious ocular disease and appropriate contact precautions and cooking may reduce this complication.
Databáze: MEDLINE
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