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Toxoplasmosis: a review.

Toxoplasma gondii, the causative agent of toxoplasmosis, is one of the commonest protozoan parasites of man. It is found world-wide. Although the infection is common as indicated by a high prevalence of toxoplasma antibody among almost all human populations, the clinical disease is observed in only a small proportion of those infected. The most serious complications of infection are seen in infants of women who acquire the infection during pregnancy and in immuno-compromised patients. Clinical manifestations of the disease in the normal host, in compromised hosts including acquired immune deficiency syndrome (AIDS), in pregnancy, eye infection and the relationship of toxoplasmosis to abortion are discussed in detail. In addition, various serologic tests used in the diagnosis, their interpretation, and treatment regimens for various categories of patients are reviewed. Finally, the preventive measures and the serologic screening programs for pregnant women are discussed.

Acquired Immunodeficiency Syndrome↗

Diseases of the retina: 1975-76 review.

Articles on the retina which appeared in the American Journal of Ophthalmology, Archives of Ophthalmology, and British Journal of Ophthalmology from July 1975 to June 1976 are summarized. Topics include a specific receptor for retinol-binding protein, retinal pigment epithelium, retinitis pigmentosa, diabetic retinopathy, infections, degenerations, maculopathy, sickle hemoglobinopathy, retinoblastoma and retrolent fibroplasia, and macular hole and retinal detachment.

Adult↗

The causes of tissue damage in toxoplasmic retinochoroiditis.

The pathogenetic mechanisms of tissue damage in toxoplasmic retinochoroiditis are complex and incompletely understood. They include invasion and parasitisation of retinal tissues by the Toxoplasma parasite and localised tissue damage by a complex associated immune response. Clinical and experimental studies which shed light upon our understanding of the disease process are reviewed and discussed with regard to current policies in treatment.

Animals↗

[Chorioretinitis caused by toxoplasmosis: study of 65 cases].

Sixty five patients with an ophthalmoscopic diagnosis of chorioretinitis who, underwent complement fixation tests and intradermoreaction using Toxoplasma antigens were studied. 95,4% of them disclosed antibody titers with the former and 58,5% reactors were found with the latter. Sixty five individuals with neither backgrounds nor clinical symptoms of toxoplasmosis were used as control, and 27,7% of reactors in both tests were likewise found. The differences among results are highly statistically significant; this points out toxoplasmosis as an important cause of chorioretinitis in our patients. Complement fixation tests were more sensitive than intradermoreactions as well as specific as the latter. Results were correlated to age, sex and animal contacts.

Adolescent↗

Opportunistic infections of the retina and posterior segment.

Opportunistic infections of the retina are becoming a more frequent diagnostic and therapeutic challenge as immunosuppressed patients become more common. Viral, fungal, protozoan, and bacterial agents may be encountered. Diagnostic and therapeutic considerations, illustrated by case histories, are presented in this article. Viral infections are characterized by progressive exudation and hemorrhagic necrosis in a segmental distribution corresponding to the retinal vasculature. Protozoan, fungal, and bacterial infections may demonstrate more focal lesions with greater vitreous involvement. Diagnosis is established by clinical examination of body fluids. Antimicrobial drugs alone or combined with vitrectomy are effective therapy for fungal, bacterial, and protozoan infections. Antiviral drugs have yielded more disappointing results in the management of viral retinitis.

Adult↗