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Skin in the game.

Michael S Vaphiades1, Brendan Grondines1, Lanning B Kline1

  • 1Departments of Ophthalmology and Neurology, University of Alabama at Birmingham, Birmingham, Alabama, USA.

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|November 23, 2021
PubMed
Summary
This summary is machine-generated.

A young man experienced vision loss due to ocular toxoplasmosis, likely from handling raw deer meat. Prompt diagnosis and treatment are crucial for preventing permanent vision impairment.

Keywords:
DeerOptic neuropathyPapillitisToxoplasmosisVenison

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Area of Science:

  • Ophthalmology
  • Infectious Diseases
  • Neurology

Background:

  • Toxoplasma gondii is a common parasite that can cause opportunistic infections.
  • Ocular toxoplasmosis can lead to significant visual impairment.

Observation:

  • A 23-year-old male with a history of migraines and seizures presented with sudden, painless left eye vision loss.
  • Examination revealed optic disc edema; brain and orbital MRI were unremarkable.
  • The patient reported frequent, unprotected handling and consumption of raw deer meat, often with hand cuts.

Findings:

  • Serum analysis revealed significantly elevated Toxoplasma gondii IgG and IgM antibodies, confirming acute infection.
  • The clinical presentation and serological findings were consistent with ocular toxoplasmosis.

Implications:

  • This case highlights the risk of acquiring toxoplasmosis through occupational or recreational exposure to infected animals, particularly undercooked meat.
  • Early diagnosis of ocular toxoplasmosis is essential for timely treatment and visual preservation.
  • Physicians should consider Toxoplasma gondii in the differential diagnosis of optic neuropathy, especially in at-risk individuals.