Overt chorioretinitis after patient acquired toxoplasmosis in an immunocompetent subject

Editor,—Acquired Toxoplasma gondii infection is usually asymptomatic and uncomplicated unless it occurs in severely immunodepressed patients or in particular epidemiological settings.1 2 We report a case of toxoplasmic chorioretinitis (CR) occurring 15 months after patent primary infection with cervical adenopathies in an immunocompetent woman. ### CASE REPORT VK, a 31 year old woman, presented with blurred vision in the left eye, which had started a few days previously. Visual acuity on this side was preserved at 16/20. Split lamp examination showed a negative Tyndall in the anterior chamber. Ocular pressure was 10 mm Hg. Retinal examination with the three mirror method revealed a fresh and strictly peripheral chorioretinal lesion at 10 o’clock, suggestive of toxoplasmosis, with no evidence of previous scarring. Peripapillar haemorrhage and a moderate vitreal reaction were also noted. The right eye was strictly normal. Two small cervical …