E-ISSN 2146-8133
 

Case Report 


Unusual optic disc placement of toxoplasmosis in a diabetic patient

Lokman Aslan, Murat Aslankurt, Adnan Aksoy, Selma Guler, Ibrahim Yasar.

Abstract
A 44-year-old woman presented to our clinic with reduced vision in the right eye for two weeks. Visual acuity was 4/10 in the right eye. A swelling optic disc, vascular attenuation in the optic nerve head, a few splinter hemorrhages around the optic disc, and moderate vitritis were detected in the right eye. The left eye was normal. She had a diabetes mellitus (DM) history for five years. Serum IgM and IgG found a high titer for toxoplasmosis. A papillitis was diagnosed that was caused by primary toxoplasmosis without any chorioretinal focus. The patient was treated with an appropriate systemic antibiotics for toxoplasmosis and per oral corticosteroid. Optic disc swelling resolved within four weeks. Visual acuity was 9/10 two months later. We aimed to emphasize that the unusual placement of toxoplasmosis should be kept in mind in the differential diagnosis of papillitis in diabetic patients.

Key words: Toxoplasmosis, papillitis, diabetes mellitus


 
ARTICLE TOOLS
Abstract
PDF Fulltext
Print this article Print this Article
How to cite this articleHow to cite this article
Export to
Export to
Related Records
 Articles by Lokman Aslan
Articles by Murat Aslankurt
Articles by Adnan Aksoy
Articles by Selma Guler
Articles by Ibrahim Yasar
on Google
on Google Scholar
Article Statistics
 Viewed: 1933
Downloaded: 535
Cited: 0

REFERENCES
1. Petersen E, Kijlstra A, Stanford M. Epidemiology of ocular toxoplasmosis. Ocul Immunol Inflamm 2012;20:68-75. [DOI via Crossref]    [Pubmed]   
2. Garweg JG, de Groot-Mijnes JD, Montoya JG. Diagnostic approach to ocular toxoplasmosis. Ocul Immunol Inflamm 2011;19:255-61. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
3. Eckert GU, Melamed J, Menegaz B. Optic nerve changes in ocular toxoplasmosis. Eye(Lond) 2007; 21:746–51. [DOI via Crossref]   
4. Smith JR, Cunningham ET Jr. Atypical presentations of ocular toxoplasmosis. Curr Opin Ophthalmol 2002;13:387-92. [DOI via Crossref]   
5. Subauste CS, Ajzenberg D, Kijlstra A. Review of the series "Disease of the year 2011: toxoplasmosis" pathophysiology of toxoplasmosis. Ocul Immunol Inflamm 2011;19:297-306. [DOI via Crossref]    [Pubmed]   
6. Küçükerdönmez C, Akova YA, Yilmaz G. Ocular toxoplasmosis presenting as neuroretinitis: report of two cases. Ocul Immunol Inflamm 2002;10: 229-34. [DOI via Crossref]    [Pubmed]   
7. Bodaghi B, Touitou V, Fardeau C, Paris L, LeHoang P. Toxoplasmosis: new challenges for an old disease. Eye (Lond) 2012;26:241-4. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
8. Alipanahi R. Rare presentation of ocular toxoplasmosis. RMJ 2009;34:112-4.
9. Sahin A, Cingü AK, Ari S, Cinar Y, Caça I. Bilateral optic disc drusen mimicking papilledema. J Clin Neurol 2012;8:151-4. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
10. Slagle WS, Musick AN, Eckermann DR. Diabetic papillopathy and its relation to optic nerve ischemia. Optom Vis Sci 2009;86:e395-403. [DOI via Crossref]    [Pubmed]   
11. Bayraktar Z, Alacali N, Bayraktar S. Diabetic papillopathy in type II diabetic patients. Retina 2002; 22:752-8. [DOI via Crossref]    [Pubmed]   
12. Gokce C, Yazar S, Bayram F, Gundogan K, Yaman O, Sahin I. Anti-Toxoplasma gondii antibodies in type 2 diabetes. Natl Med J India 2008;21:51. [Pubmed]   
13. Suresh S, Nor-Masniwati S, Nor-Idahriani MN, Wan-Hazabbah WH, Zeehaida M, Zunaina E. Serological IgG avidity test for ocular toxoplasmosis. Clin Ophthalmol 2012;6:47-50.
14. Yamamoto JH, Boletti DI, Nakashima Y, Hirata CE, Olivalves E, Shinzato MM et al. Severe bilateral necrotising retinitis caused by Toxoplasma gondii in a patient with systemic lupus erythematosus and diabetes mellitus. Br J Ophthalmol 2003;87:651-2. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
15. Barisani-Asenbauer T, Maca SM, Mejdoubi L, Emminger W, Machold K. Auer Uveitis- a rare disease often associated with systemic diseases and infections-a systematic review of 2619 patients. Orphanet J Rare Dis 2012;7:57. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   

How to Cite this Article
Pubmed Style

Aslan L, Aslankurt M, Aksoy A, Guler S, Yasar I. Unusual optic disc placement of toxoplasmosis in a diabetic patient. Arch Clin Exp Surg. 2015; 4(2): 111-113. doi:10.5455/aces.20121012023137


Web Style

Aslan L, Aslankurt M, Aksoy A, Guler S, Yasar I. Unusual optic disc placement of toxoplasmosis in a diabetic patient. http://www.ejmaces.com/?mno=25692 [Access: May 26, 2018]. doi:10.5455/aces.20121012023137


AMA (American Medical Association) Style

Aslan L, Aslankurt M, Aksoy A, Guler S, Yasar I. Unusual optic disc placement of toxoplasmosis in a diabetic patient. Arch Clin Exp Surg. 2015; 4(2): 111-113. doi:10.5455/aces.20121012023137



Vancouver/ICMJE Style

Aslan L, Aslankurt M, Aksoy A, Guler S, Yasar I. Unusual optic disc placement of toxoplasmosis in a diabetic patient. Arch Clin Exp Surg. (2015), [cited May 26, 2018]; 4(2): 111-113. doi:10.5455/aces.20121012023137



Harvard Style

Aslan, L., Aslankurt, M., Aksoy, A., Guler, S. & Yasar, I. (2015) Unusual optic disc placement of toxoplasmosis in a diabetic patient. Arch Clin Exp Surg, 4 (2), 111-113. doi:10.5455/aces.20121012023137



Turabian Style

Aslan, Lokman, Murat Aslankurt, Adnan Aksoy, Selma Guler, and Ibrahim Yasar. 2015. Unusual optic disc placement of toxoplasmosis in a diabetic patient. Archives of Clinical and Experimental Surgery (ACES), 4 (2), 111-113. doi:10.5455/aces.20121012023137



Chicago Style

Aslan, Lokman, Murat Aslankurt, Adnan Aksoy, Selma Guler, and Ibrahim Yasar. "Unusual optic disc placement of toxoplasmosis in a diabetic patient." Archives of Clinical and Experimental Surgery (ACES) 4 (2015), 111-113. doi:10.5455/aces.20121012023137



MLA (The Modern Language Association) Style

Aslan, Lokman, Murat Aslankurt, Adnan Aksoy, Selma Guler, and Ibrahim Yasar. "Unusual optic disc placement of toxoplasmosis in a diabetic patient." Archives of Clinical and Experimental Surgery (ACES) 4.2 (2015), 111-113. Print. doi:10.5455/aces.20121012023137



APA (American Psychological Association) Style

Aslan, L., Aslankurt, M., Aksoy, A., Guler, S. & Yasar, I. (2015) Unusual optic disc placement of toxoplasmosis in a diabetic patient. Archives of Clinical and Experimental Surgery (ACES), 4 (2), 111-113. doi:10.5455/aces.20121012023137





Most Viewed Articles
  • Hirudotherapy /Leech therapy: Applications and Indications in Surgery
    Swaid Abdullah, Latief M. Dar, Adil Rashid, Anita Tewari
    Arch Clin Exp Surg. 2012; 1(3): 172-180
    » Abstract & References » doi: 10.5455/aces.20120402072447

  • Role of Probiotics in Dental Caries and Periodontal Disease
    Amit Bhardwaj, Shalu V Bhardwaj
    Arch Clin Exp Surg. 2012; 1(1): 45-49
    » Abstract & References » doi: 10.5455/aces.20120212100645

  • Attenuated familial adenomatous polyposis presenting as an abdominal wall mass
    Marc Paul Jose Lopez, John Paul Senon Gonzalez, Manuel Francisco Tanada Roxas
    Arch Clin Exp Surg. 2017; 6(1): 53-55
    » Abstract » doi: 10.5455/aces.20150809085449

  • Use of Polyethylene Fiber (Ribbond) in Pediatric Dentistry
    Eda Arat Maden, Ceyhan Altun
    Arch Clin Exp Surg. 2012; 1(2): 110-115
    » Abstract & References » doi: 10.5455/aces.20120416115640

  • Role of Ultrasonography (Honeycomb Sign) in Early Detection of Dengue Hemorrhagic Fever
    Sudhir Sachar, Sunder Goyal, Saurabh Sachar
    Arch Clin Exp Surg. 2013; 2(1): 38-42
    » Abstract & References » doi: 10.5455/aces.20120828025157

  • Barium Enema in the Diagnosis of Hirschsprungs Disease: A Comparison with Rectal Biopsy
    Mohammad Abbas, Arshad Rashid, Asim Rafiq Laharwal, Ajaz Ahmad Wani, Shabir Ahmad Dar, Manzoor Ahamad Chalkoo, Showkat Majeed Kakroo
    Arch Clin Exp Surg. 2013; 2(4): 224-228
    » Abstract & References » doi: 10.5455/aces.20120703031135

  • Long-Term Productive Cough Caused by Tracheal Bronchus
    Chih-Hao Chen, Shih-Yi Lee, Ho Chang, Tzu-Ti Hung
    Arch Clin Exp Surg. 2012; 1(2): 120-121
    » Abstract & References » doi: 10.5455/aces.20120311102403

  • A Review of the Prevention and Treatment of Hypertrophic Scars: Part I Clinical Aspects
    Huseyin Karagoz, Celalettin Sever, Yalcin Bayram, Cihan Sahin, Yalcin Kulahci, Ersin Ulkur
    Arch Clin Exp Surg. 2012; 1(4): 237-248
    » Abstract & References » doi: 10.5455/aces.20120218124923

  • Day–Care Surgery for Pilonidal Sinus Using Sinotomy Technique and Fibrin Glue Injection
    Selim Sozen, Vedat Ozturk, Koray Das, Hasan Erdem, Suleyman Cetinkunar, Ilhan Bali
    Arch Clin Exp Surg. 2012; 1(3): 138-141
    » Abstract & References » doi: 10.5455/aces.20120625121721

  • Scorpion sting in a pregnant woman: A case report
    Selim Bozkurt, Mehmet Okumus, Besime Utku, Deniz Cemgil Arikan, Ugur Lok, Fatma Betul Duygu
    Arch Clin Exp Surg. 2015; 4(2): 118-120
    » Abstract & References » doi: 10.5455/aces.20121229025033

  • Most Downloaded
  • Attenuated familial adenomatous polyposis presenting as an abdominal wall mass
    Marc Paul Jose Lopez, John Paul Senon Gonzalez, Manuel Francisco Tanada Roxas
    Arch Clin Exp Surg. 2017; 6(1): 53-55
    » Abstract » doi: 10.5455/aces.20150809085449

  • Role of Probiotics in Dental Caries and Periodontal Disease
    Amit Bhardwaj, Shalu V Bhardwaj
    Arch Clin Exp Surg. 2012; 1(1): 45-49
    » Abstract & References » doi: 10.5455/aces.20120212100645

  • Patient Selection in Plastic Surgery: Recognizing Body Dysmorphic Disorder
    Cihan Sahin, Onat Yilmaz, Yalcin Bayram, Huseyin Karagoz, Celalettin Sever, Yalcin Kulahci, Alpay Ates
    Arch Clin Exp Surg. 2013; 2(2): 109-115
    » Abstract & References » doi: 10.5455/aces.20120722123102

  • Hirudotherapy /Leech therapy: Applications and Indications in Surgery
    Swaid Abdullah, Latief M. Dar, Adil Rashid, Anita Tewari
    Arch Clin Exp Surg. 2012; 1(3): 172-180
    » Abstract & References » doi: 10.5455/aces.20120402072447

  • Use of Polyethylene Fiber (Ribbond) in Pediatric Dentistry
    Eda Arat Maden, Ceyhan Altun
    Arch Clin Exp Surg. 2012; 1(2): 110-115
    » Abstract & References » doi: 10.5455/aces.20120416115640

  • A Study of Methods Used to Reduce Surgical Site Infections
    Stuart R. Walker, Tara Anderson
    Arch Clin Exp Surg. 2012; 1(1): 27-33
    » Abstract & References » doi: 10.5455/aces.20120213053645

  • Slow-Release Drug Deliver System with Polylactic Acid Hydrogels in Prevention of Tracheal Wall Fibroplasia
    Jinrang Li, Lili Peng, Jianjun Sun, Hongguang Guo, Kun Guo, Zuogang Li, Yao Tang, Xu Sun, Shuangqing Zhang
    Arch Clin Exp Surg. 2012; 1(1): 1-7
    » Abstract & References » doi: 10.5455/aces.20120220105531

  • Principles of risk management in surgery departments
    Fatemeh Rezaei, Mohammad H Yarmohammadian, Masoud Ferdosi, Abbas Haghshenas
    Arch Clin Exp Surg. 2015; 4(3): 126-134
    » Abstract & References » doi: 10.5455/aces.20140925015830

  • Post-Traumatic Pancreatic Pseudocyst: Report of Two Cases with Review of Literature
    Sunder Goyal, Sudhir Sachar, Ram Kumar Verma, Snigdha Goyal
    Arch Clin Exp Surg. 2013; 2(4): 251-258
    » Abstract & References » doi: 10.5455/aces.20120524103614

  • A Review of the Prevention and Treatment of Hypertrophic Scars: Part I Clinical Aspects
    Huseyin Karagoz, Celalettin Sever, Yalcin Bayram, Cihan Sahin, Yalcin Kulahci, Ersin Ulkur
    Arch Clin Exp Surg. 2012; 1(4): 237-248
    » Abstract & References » doi: 10.5455/aces.20120218124923

  • Most Cited Articles
  • Hirudotherapy /Leech therapy: Applications and Indications in Surgery
    Swaid Abdullah, Latief M. Dar, Adil Rashid, Anita Tewari
    Arch Clin Exp Surg. 2012; 1(3): 172-180
    » Abstract & References » doi: 10.5455/aces.20120402072447
    Cited : 8 times [Click to see citing articles]

  • Experimental Craniofacial Composite Tissue Allotransplantation (CCTA) Models in Rats
    Yalcin Kulahci, Yalcin Bayram, Huseyin Karagoz, Celalettin Sever, Cihan Sahin
    Arch Clin Exp Surg. 2012; 1(3): 181-187
    » Abstract & References » doi: 10.5455/aces.20120514010906
    Cited : 7 times [Click to see citing articles]

  • Thoracodorsal Artery Perforator Flap: Basic Surgical Determinants
    Celalettin Sever, Yalcin Bayram, Cihan Sahin
    Arch Clin Exp Surg. 2012; 1(4): 270-271
    » Abstract & References » doi: 10.5455/aces.20120506072849
    Cited : 6 times [Click to see citing articles]

  • Pre-expanded Supraclavicular Flap for Post-burn Neck Contractures
    Celalettin Sever, Cihan Sahin
    Arch Clin Exp Surg. 2012; 1(1): 61-62
    » Abstract & References » doi: 10.5455/aces.20120205090034
    Cited : 4 times [Click to see citing articles]

  • Day–Care Surgery for Pilonidal Sinus Using Sinotomy Technique and Fibrin Glue Injection
    Selim Sozen, Vedat Ozturk, Koray Das, Hasan Erdem, Suleyman Cetinkunar, Ilhan Bali
    Arch Clin Exp Surg. 2012; 1(3): 138-141
    » Abstract & References » doi: 10.5455/aces.20120625121721
    Cited : 4 times [Click to see citing articles]

  • The effect of Kristeller maneuver on maternal and neonatal outcome
    Gokhan Acmaz, Evrim Albayrak, Gokalp Oner, Murvet Baser, Gulsum Aykut, Gulender Tas Tekin, Gokmen Zararsiz, Iptisam Ipek Muderris
    Arch Clin Exp Surg. 2015; 4(1): 29-35
    » Abstract & References » doi: 10.5455/aces.20140328024258
    Cited : 4 times [Click to see citing articles]

  • What is the Most Appropriate Animal Model for Experimental Diabetic Neuropathy Studies ?
    Huseyin Karagoz, Mustafa Tansel Kendirli
    Arch Clin Exp Surg. 2012; 1(3): 199-200
    » Abstract & References » doi: 10.5455/aces.20120514012617
    Cited : 3 times [Click to see citing articles]

  • Anesthetic Burns A Burn Injury Due to A Combination of Local Anaesthetic and Heat Pack
    Stuart Robert Walker
    Arch Clin Exp Surg. 2012; 1(2): 127-128
    » Abstract & References » doi: 10.5455/aces.20120206110836
    Cited : 3 times [Click to see citing articles]

  • A Review of the Prevention and Treatment of Hypertrophic Scars: Part II. Experimental Studies
    Huseyin Karagoz, Yalcin Bayram, Celalettin Sever, Cihan Sahin, Yalcin Kulahci, Ersin Ulkur
    Arch Clin Exp Surg. 2013; 2(1): 49-58
    » Abstract & References » doi: 10.5455/aces.20120218125115
    Cited : 3 times [Click to see citing articles]

  • Students View of Evidence-Based Medicine: A Survey in Switzerland
    Reto Kaderli, Larissa Burghardt, Carina Hansali, Adrian Businger
    Arch Clin Exp Surg. 2012; 1(1): 34-40
    » Abstract & References » doi: 10.5455/aces.20120217124737
    Cited : 3 times [Click to see citing articles]