Acute acquired toxoplasmosis

A case of acute necrotizing retinitis with discrete involvement in the right posterior pole was followed undiagnosed until the patient developed endophthalmitis in the right eye, loss of consciousness, high fever, and a similar picture in the left eye. Treatment with sulfadiazine, pyrimethamine, and steroids brought about a prompt resolution. When the patient died from an unrelated cause, histopathology was performed showing Toxoplasma gondii in the brain.