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Coinfection Suspicion is Imperative in Immunosuppressed Patients with Suspected Infectious Uveitis and Inadequate Treatment Response: A Case Report

  • Germán Mejía-Salgado
  • , Catalina Cardozo-Pérez
  • , Carlos Cifuentes-González
  • , Claudia Durán-Merino
  • , Alejandra de-la-Torre

Research output: Contribution to JournalResearch Articlepeer-review

Abstract

Background: To report a case of coinfection of Toxoplasma gondii (Tg) and Epstein Barr Virus (EBV) in a diabetic patient with rheumatoid arthritis and immunosuppressive biological therapy.

Case presentation: A 70-year-old female with a history of rheumatoid arthritis on therapy with corticosteroids, methotrexate, and abatacept presented bilateral granulomatous panuveitis associated with retinal necrosis and macular involvement. A diagnostic vitrectomy detected Tg and EBV. Treatment with clindamycin, trimethoprim-sulfamethoxazole, and acyclovir was established, achieving improvement.

Conclusions: Patients undergoing immunosuppressive therapy are at risk of developing opportunistic infections, often presenting with severe and atypical clinical manifestations. In such cases, multiplex polymerase chain reaction is an invaluable diagnostic tool that helps identify the specific pathogens involved. This enables healthcare professionals to make informed treatment decisions and provide targeted therapy for each identified pathogen.

Translated title of the contributionLa sospecha de coinfección es imperativa en pacientes inmunodeprimidos con sospecha de uveítis infecciosa y respuesta inadecuada al tratamiento: Informe de un caso
Original languageEnglish (US)
Pages (from-to)2548-2552
Number of pages5
JournalOcular Immunology and Inflammation
Volume32
Issue number10
DOIs
StatePublished - Dec 2024

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

All Science Journal Classification (ASJC) codes

  • Immunology and Allergy
  • Ophthalmology

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