Clinical behavior of ocular toxoplasmosis in Pinar del Rio

Authors

  • Bárbara Taysel Naranjo Valladares Especialista de Primer Grado en Oftalmología y Medicina General Integral. Máster en Medios Diagnósticos. Instructora. Hospital General Docente !Abel Santamaría Cuadrado" Pinar del Río.
  • Mirlanea López Torres Especialista de Segundo Grado en Oftalmología. Profesora Auxiliar de Oftalmología. Máster en Longevidad Satisfactoria. Investigador Agregado. Hospital General Docente “Abel Santamaría Cuadrado”. Pinar del Río.
  • Felipe Acosta Rodríguez Especialista de Segundo Grado en Oftalmología. Profesor Auxiliar de Oftalmología. Máster en Longevidad Satisfactoria. Investigador Agregado. Hospital Clínico Quirúrgico "León Cuervo Rubio" Pinar del Río
  • Yamilka Moreno Martínez Especialista de Primer Grado en Oftalmología y Medicina General Integral. Policlínico Universitario “Hermanos Cruz” Pinar del Río.
  • Ariel Hernández Acosta Especialista de Primer Grado en Medicina General Integra. Instructor. Policlínico Universitario “Raúl Sánchez”. Pinardel Río.

Keywords:

Toxoplasmosis/epidemiología/complicaciones.

Abstract

Introduction: toxoplasmosis is a frequent zoonosis caused by an obligate intracellular parasite: toxoplasma gondii. The most frequent cause is posterior uveitis and can provoke severe ophthalmic sequels.
Objective: to characterize clinical and epidemiological behavior, natural history and main complications of patients suffering from active-ocular toxoplasmosis at the Ophthalmologic Center in Pinar del Rio province.
Material and method: an observational, descriptive and cross sectional study was conducted in patients having the diagnosis of active-ocular toxoplasmosis, during January 2011 and October 2012. The target group was comprised of the totality of patients attending to the center with the diagnosis of ocular toxoplasmosis (34), and the sample included those presenting the active form of infection (14).
Results: patients between 30 and 39 years old prevailed, with a slight prevalence of female sex. Blurred vision was the most frequent symptom, mostly the lesion appeared in zone I of the retina. Necrotizing lesions of toxoplasmic retinochoroiditis accompanied by vitritis of variable intensity was the most frequent ophthalmic finding, prevailing patients with a better visual acuity below 0,3 after the treatment. Macular edema and ocular hypertension resulted in the most repeated complications.
Conclusions: clinical characteristics of patients coincided with those described in medical literature. The degree of visual affection was related to the site of lesions and complications.

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References

1. Foster CS, Vitale AT. Diagnosis and treatment of uveitis. Philadelphia: Saunders; 2001.

2. Jones JL, Muccioli C, Belfort R, Holland GN, Roberts JM, Silveira C. Recently acquired Toxoplasma gondii infection. Río de Janeiro. Emerg Infect Dis [Internet]. 2006 [citado 12 Feb 2012]; 12(4): [aprox. 6p.]. Disponible en: http://wwwnc.cdc.gov/eid/article/12/4/05-1081_article.htm

3. Jacob E, Reuland M, Mackensen F, Hearsch N, Fleckenstein M, Lorenz HM, et al. Uveitis subtypes in a German Interdisciplinary Uveitis Center. Analysis of 1916 patients. J Rheumatol [Internet]. 2009 [citado 12 Feb 2012]; 36(1): [aprox. 9p.]. Disponible en: http://www.jrheum.com/subscribers/09/01/127.html

4. Mesa E. Toxoplasmosis. En: Rio Torres M. Oftalmología: Criterios y tendencias actuales. La Habana: Editorial Ciencias Médicas; 2009. p. 411.

5. Intraocular inflamation and uveitis. In: Basic and Clinical Science Course. EE.UU: American Academy of Ophthalmology; 2008. Disponible en: http://www.herrerobooks.com/libro/9781560558828/aao/intraocular-inflammation-and-uveitis-2008-2009

6. Pardo A, Callizo J, Valldeperas X. Revisión de la prevención y tratamiento de la toxoplasmosis ocular. An Oftalmol. [Internet]. 2004 [citado 18 Ict 2012]; 12(1): [aprox. 9p.]. Disponible en: http://www.nexusediciones.com/pdf/ao2004_1/of-12-1-003.pdf

7. Mesa Hernández E, González Peña O, Padilla González C, Benítez Cartaya M, Pombo García R. Comportamiento de la toxoplasmosis ocular activa en el Instituto Cubano de Oftalmología "Ramón Pando Ferrer". Rev Cubana Oftalmol [Internet]. 2011 ene-jun [citado 22 Dic 2012]; 24(1): [aprox. 8p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21762011000100012&lng=es

8. Holland GN, Crespi CM, ten Dam_van Loon N, Charonis AC, Yu F, Bosch_Driessen LH, et al. Analysis of recurrence patterns associated with toxoplásmica retinochoroiditis. Am J Ophthalmol [Internet]. 2008 [citado 22 Dic 2012]; 145(6): [aprox. 7p.]. Disponible en: http://www.sciencedirect.com/science/article/pii/S0002939408000858

9. Park YH, Han JH, Ho-Woo. Clinical Features of Ocular Toxoplasmosis in Korean. CASE REPORT. Korean J Parasitol [Internet]. 2011 June [citado 12 Jun 2012]; 49(2): [aprox. 5p.]. Disponible en: http://dx.doi.org/10.3347/kjp.2011.49.2.167

10. Álvarez G, Rey A, Adán R. Características clínicas de toxoplasmosis ocular en población inmigrante del área de Barcelona: estudio de 22 pacientes. Arch Soc Esp Oftalmol [Internet].2010 [citado 22 Dic 2012]; 85(6): [aprox. 4p.]. Disponible en http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0365-66912010000600002&lng=en

11. Mesa Hernández E, Fernández Zamora Y, Padilla González CM, Hernández Pérez A, Benítez Cartaza M. Caracterización clínica y serológica de la toxoplasmosis ocular activa. Rev Cubana Oftalmol [Internet]. 2012 ene-jun[citado 18 Oct 2012]; 25(1): [aprox. 8p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21762012000100004&lang=pt

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Published

2013-06-21

How to Cite

1.
Naranjo Valladares BT, López Torres M, Acosta Rodríguez F, Moreno Martínez Y, Hernández Acosta A. Clinical behavior of ocular toxoplasmosis in Pinar del Rio. Rev Ciencias Médicas [Internet]. 2013 Jun. 21 [cited 2025 Sep. 17];17(3):38-4. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/1120

Issue

Vol. 17 No. 3 (2013)

Section

ORIGINAL ARTICLES

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