From Misdiagnosis to Management: A Case Report of Ocular Inflammatory Disease.
| Autor: | Francisco CM; Pediatrics, Hospital Sousa Martins, Guarda, PRT., Santos M; Ophthalmology, Hospital de Santa Maria, Unidade Local de Saúde (ULS) Santa Maria, Lisbon, PRT., Mano S; Ophthalmology, Hospital de Santa Maria, Unidade Local de Saúde (ULS) Santa Maria, Lisbon, PRT., Leal I; Ophthalmology, Hospital de Santa Maria, Unidade Local de Saúde (ULS) Santa Maria, Lisbon, PRT., Coelho J; Pediatric Neurology, Hospital de Santa Maria, Unidade Local de Saúde (ULS) Santa Maria, Lisbon, PRT. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Jul 27; Vol. 16 (7), pp. e65491. Date of Electronic Publication: 2024 Jul 27 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.65491 |
| Abstrakt: | Ocular inflammatory diseases encompass a spectrum of conditions characterized by inflammation within the eye, presenting diagnostic challenges and necessitating tailored management. Ocular toxoplasmosis (OT) poses a challenge in diagnosis and management due to its diverse clinical presentations. We present a case report of a 17-year-old female adolescent who presented with blurred vision and ocular pain, initially misdiagnosed as optic neuritis. Despite receiving methylprednisolone, her symptoms persisted, prompting further evaluation. Ophthalmoscopic examination revealed a whitish focus of chorioretinitis adjacent to an old scar, indicative of OT. Optical coherence tomography confirmed retinochoroiditis, and sulfamethoxazole-trimethoprim was added, resulting in improvement. This case underscores the importance of considering OT in the differential diagnosis of ocular manifestations, especially in individuals with relevant family history, despite atypical presentations. Timely recognition, accurate diagnosis, and prompt initiation of appropriate therapy are crucial to preserve patients' visual function. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Francisco et al.) |
| Databáze: | MEDLINE |
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