Acquired Chorioretinitis Due to Toxoplasmosis

  1. DIETER W. GUMP, M.D.; and
  2. ROBERT A. HOLDEN, M.D.
  1. University of Vermont College of Medicine;
    Burlington, Vermont

    Excerpt

    Chorioretinitis due to Toxoplasma gondii in the adult is generally a late sequela of congenital infection (1). Perkins (2), in an extensive review of ocular toxoplasmosis, concluded that almost all cases of toxoplasmic chorioretinitis seen in the United Kingdom were of congenital origin. Unless a serial two-tube rise to high titers by any serologic test occurs or a single high IgM indirect fluorescent antibody titer is present, acute toxoplasmosis cannot be confirmed (1). Considerable controversy remains about whether chorioretinitis can occur with acquired disease, although reports by Saari and colleagues (3), Masur and associates (4), and our case here seem

    Acknowledgments

    The authors thank Jack S. Remington, M.D., Stanford University Medical Center, Palo Alto, California, for his help in the management of this patient and Drs. E. S. Erwin and P. A. Aitken for the retinal photographs.

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