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

Rare presentation of bilateral congenital toxoplasmosis in newborns

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
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/IJO.IJO_2577_22

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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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