Rare presentation of bilateral congenital toxoplasmosis in newborns

Mahak Bhandari; Anubhav Goyal; T Lekha; Tony Mampilly; Sindhu T Stephan; Anantharaman Giridhar

doi:10.4103/IJO.IJO_2577_22

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Year : 2023 \| Volume : 3 \| Issue : 2 \| Page : 405-408

Rare presentation of bilateral congenital toxoplasmosis in newborns Mahak Bhandari¹, Anubhav Goyal², T Lekha³, Tony Mampilly⁴, Sindhu T Stephan⁵, Anantharaman Giridhar⁶ ¹ Department of Vitreo – Retina, Giridhar Eye Institute, Kochi, Kerala, India ² Consultant Surgical Vitreo-Retina and ROP Services, Giridhar Eye Institute, Ernakulum, Kerala, India ³ Retina and Uvea Consultant, Department of Retina, Giridhar Eye Institute, Kochi, India ⁴ Department and Chief of Neonatology, Lisie Hospital, Kochi, Kerala, India ⁵ Department of Pediatrics, Government Medical College, Ernakulum, Kerala, India ⁶ Department of Vitreo – Retina Services, Giridhar Eye Institute Kochi, Kerala, India Correspondence Address: Anubhav Goyal Consultant Surgical Vitreo-Retina and ROP Services, Giridhar Eye Institute, Ernakulum, Kerala India Source of Support: None, Conflict of Interest: None DOI: 10.4103/IJO.IJO_2577_22

Congenital toxoplasmosis is asymptomatic in 85% of the cases and can flee detection due to a lack of a standard screening protocol. Management of foveal-threatening Toxoplasma retinochoroiditis is critical and involves pyrimethamine and sulfadiazine as the first-line treatment, but safer drugs like clindamycin and azithromycin are also available. We report two cases of bilateral congenital Toxoplasma retinochoroiditis in infants who were screened in the newborn intensive care unit (NICU), to highlight the importance of timely treatment with a combination of steroids and antibiotics in order to prevent vision-threatening sequelae.



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