Outbreak At Watersedge A Parasitic Disease - not clear
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Cite This Article. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.
All other clinicians completing this activity will be issued a certificate of participation. Describe clinical and multimodal imaging findings at presentation and prevalence of and risk factors for ocular involvement in toxoplasmosis reported during an outbreak in in Gouveia, Brazil. Determine recurrences and complications of toxoplasmosis reported during an outbreak in in Gouveia, Brazil. Identify clinical implications of findings, course, and risk factors for ocular involvement in toxoplasmosis reported during an outbreak in in Gouveia, Brazil.
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Amy J. Disclosure: Amy J. Guinn, BA, MA, has disclosed no relevant financial relationships. Disclosure: Laurie Barclay, MD, has disclosed no relevant financial relationships. Inan outbreak of presumed waterborne toxoplasmosis occurred in Gouveia, Brazil. We conducted a 3-year prospective study on a cohort of 52 patients from this outbreak, collected clinical and multimodal imaging findings, and determined risk factors for ocular involvement.
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Multimodal imaging revealed 2 distinct retinochoroiditis patterns: necrotizing focal retinochoroiditis and punctate retinochoroiditis. Older age, worse visual acuity, self-reported recent reduction of visual acuity, and presence of floaters were associated with retinochoroiditis.
Recurrences were associated with binocular involvement.
Patients with acquired toxoplasmosis should have long-term ophthalmic follow-up, regardless of initial ocular involvement. Toxoplasmosis is caused by Toxoplasma gondiian obligate intracellular apicomplexan parasite that infects up to one third of the human population 1 — 4.
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Humans are mainly infected by ingesting tissue cysts in undercooked or raw meat or oocysts excreted in cat feces that contaminate Outbreak At Watersedge A Parasitic Disease or food 1 — 4. Ocular disease is the major clinical repercussion in immunocompetent patients; toxoplasmosis is Parasiticc leading cause of infectious posterior uveitis worldwide and can https://amazonia.fiocruz.br/scdp/blog/work-experience-programme/no-comprehensive-database-of-civilians-by-law.php lead to severe ocular complications 1356.
Although congenital toxoplasmosis more frequently leads to retinochoroiditis, postnatally acquired infection now is acknowledged as being associated with a large proportion of cases 23 Watersegde, 67. Toxoplasmosis outbreaks are good opportunities to clarify clinical aspects of this complex disease because patients are infected at known times, by similar routes, and presumably by parasites of the same genotype 11 — Municipal, state, and federal health authorities investigated several cases of fever, malaise, weight loss, and lymphadenopathy. Recent read more infection was eventually confirmed in 52 cases.]
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