Abstract
To describe the clinical features of a patient with toxoplasmic pachymeningitis and provide a review of the recent cases of pachymeningitis in the literature.Retrospective, observational case report. A one-eyed patient who presented to our institution with blurred vision, floaters, and visual field shrinkage. Review of clinical, laboratory, perimetric, and radiologic records of the patient and description of the efficacy of antibiotic therapy. The signs of ocular impairment, including visual acuity, visual field, and magnetic resonance imaging (MRI) changes. A one-eyed patient who complained of blurred vision and unexplained visual field shrinkage was evaluated. The diagnosis of toxoplasmic pachymeningitis was confirmed by existence of a toxoplasmic seroconversion, cerebrospinal fluid abnormalities, radiological features, absence of other diagnoses, improvement of symptoms, and resolution of pachymeningitis in MRI with oral trimethoprim-sulfamethoxazole combination.Pachymeningitis is a rare disease and toxoplasmic pachymeningitis has never been described. Among the various infectious causes, screening for toxoplasmosis must be performed because it can lead to pachymeningitis and sequelae. Variable features may lead to misdiagnosis and delay in the treatment of this sight-threatening and potentially fatal disease.
Keywords
Publication details
- DOI
- 10.4103/0974-620x.94768
- Journal
- Oman Journal of Ophthalmology, 5(1), 46-50
- Publisher
- Medknow Publications
- Open access
- Gold open access
Cite this article
APA 7
Bonnin, N., Chiambaretta, F., Ulla, M., Taithe, F., Chabert, E., Claise, B., & Bacin, F. (2012). Toxoplasmic pachymeningitis with visual field impairment in a single-eyed patient and a literature review. Oman Journal of Ophthalmology, 5(1), 46-50. https://doi.org/10.4103/0974-620x.94768
MLA 9
Bonnin, Nicolas, et al. "Toxoplasmic pachymeningitis with visual field impairment in a single-eyed patient and a literature review." Oman Journal of Ophthalmology, vol. 5, no. 1, 2012, pp. 46-50. https://doi.org/10.4103/0974-620x.94768.
Chicago (author–date)
Bonnin, Nicolas, Frédéric Chiambaretta, Miguel Ulla, Frédéric Taithe, Emmanuel Chabert, Béatrice Claise, and Franck Bacin. 2012. "Toxoplasmic pachymeningitis with visual field impairment in a single-eyed patient and a literature review." Oman Journal of Ophthalmology 5 (1): 46-50. https://doi.org/10.4103/0974-620x.94768.
Harvard
Bonnin, N., Chiambaretta, F., Ulla, M., Taithe, F., Chabert, E., Claise, B. and Bacin, F. (2012) 'Toxoplasmic pachymeningitis with visual field impairment in a single-eyed patient and a literature review', Oman Journal of Ophthalmology, 5(1), pp. 46-50. doi:10.4103/0974-620x.94768.
Vancouver
Bonnin N, Chiambaretta F, Ulla M, Taithe F, Chabert E, Claise B, et al. Toxoplasmic pachymeningitis with visual field impairment in a single-eyed patient and a literature review. Oman Journal of Ophthalmology. 2012;5(1):46-50. doi:10.4103/0974-620x.94768
IEEE
N. Bonnin, F. Chiambaretta, M. Ulla, F. Taithe, E. Chabert, B. Claise, and F. Bacin, "Toxoplasmic pachymeningitis with visual field impairment in a single-eyed patient and a literature review," Oman Journal of Ophthalmology, vol. 5, no. 1, pp. 46-50, 2012, doi: 10.4103/0974-620x.94768.