Multiple Granulomas of Ocular Toxocariasis in an Immunocompetent Male

ABSTRACT

A 25-year-old male presented with unilateral panuveitis with multiple voluminous elevated retinal lesions along with subretinal fluid and exudation. An extensive laboratory work-up was done, and a clinical suspicion of viral retinitis was considered. The patient was initiated on antiviral therapy and, subsequently, oral corticosteroids. As the corticosteroids were tapered, the patient developed worsening lesions and vitreous inflammation. Pars plana vitrectomy (diagnostic and therapeutic) was performed and cytology sample revealed a highly eosinophilic infiltrate suggestive of parasitic infection. The real-time polymerase chain reaction was positive for Toxocara cati. The diagnosis of ocular toxocariasis was made. This case highlights a highly unusual presentation where multiple retinal granulomas of ocular toxocariasis were observed in an immunocompetent male.

Keywords:

• Granuloma
• ocular toxocariasis
• pars plana vitrectomy
• polymerase chain reaction
• real-time PCR

Acknowledgments

The authors would like to thank Mr. Arun Kapil, Mr. Sushil Bhat, and Mr. Nitin Gautam for their help in acquiring high-quality images.

Authorship

All authors attest that they meet the current ICMJE criteria for authorship.

Patient Consent

The consent to publish has been obtained from the participant in writing to report individual patient data.

Conflicts of Interest

The authors report no conflicts of interest. The authors alone are responsible for the content and preparation of this manuscript.