Toxoplasma Retinitis in Immunocompromised Host with Normal CD4 Count - A Case Report

Minija CK, Padmaja K and Dubey N

Department of Vitreoretinal and Uvea Services, Sankara Eye Hospital, India

^*Correspondance to: Minija CK 

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Abstract:

Toxoplasmosis is the most common opportunistic infection in patients with Human Immunodeficiency Virus (HIV) infection. A potentially blinding necrotizing retinitis can occur, with progressive deterioration of CD4+ T counts below 250 cells/cumm. This case highlights its unusual presentation in an HIV patient with normal CD4+ T counts. A 42-year-old gentleman presented with a week history of left eye diminution of vision. Clinical examination of the right eye was unremarkable while left eye showed anterior chamber and vitreous cells with a yellowish foveal lesion suspicious of toxoplasmic retinitis. He was seropositive for HIV, on therapy for ten years, with CD4+ T count 777 cells/cumm. Laboratory tests confirmed toxoplasmosis. He was started on oral anti-toxoplasma medication with tapering doses of oral and topical steroids. On subsequent follow-up, the patient had good visual and clinical improvement

Keywords:

Toxoplasmic retinitis; Human Immunodeficiency Virus; CD4+ T count

Cite the Article:

Minija CK, Padmaja K, Dubey N. Toxoplasma Retinitis in Immunocompromised Host with Normal CD4 Count - A Case Report. Clin Case Rep Int. 2019;3:1116.