Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Case Report Volume 6 Issue 2

A Case of Papillary Edema Revealing a Cerebral Abscess with Toxoplasma gondii, at the Maurice Ophthalmological Clinic

Maxime Dantouma Sovogui1,2*, Mohamed Cherif1,3, Christophe Zoumanigui2 and Fodé Amara Traore1,4

1Faculty of Health Sciences and Techniques of the University of Conakry, Republic of Guinea
2Maurice Ophthalmological Clinic, Republic of Guinea
3Neurosurgery Department of the Sino-Guinean Friendship Hospital, Republic of Guinea
4Department of Infectious and Tropical Diseases of donka National Hospital, Republic of Guinea

*Corresponding Author: Maxime Dantouma Sovogui, Faculty of Health Sciences and Techniques of the University of Conakry, Republic of Guinea.

Received: December 14, 2021; Published: January 20, 2022

Abstract

Objective : To describe the ophthalmologic manifestations in the setting of a Toxoplasma gondii brain abscess revealed by papillary edema at the Maurice ophthalmologic clinic in Guinea. Because of its gravity

Patient and Observation: We report here the case of a 17-year-old female student diagnosed with Toxoplasma gondii brain abscess revealed by papillary edema. The symptomatology was dominated by: visual blurring, headache, vomiting, lethargy and left hemiparesis. Stage II papillary edema has been found in fundoscopy. The patient was managed in collaboration with the neurosurgery and tropical infectious diseases departments. She benefited from: Acetazolamide 250 mg, Dexamethasone 4 mg, Cotrimoxazole and Paracetamol. A relay was conducted namely: Cortancyl 20 mg, cotrimoxazole 960 mg and Acetazolamide. An optical correction has been introduced.  The evolution was marked by an improvement in the clinical condition with decreased abscess on computed tomography. Continued treatment was observed for two (2) months in a row.

Conclusion: When faced with papillary edema associated with headache and projectile vomiting in an infectious context, a Toxoplasma gondii brain abscess should be suspected until proven otherwise. The positive diagnosis is based on the bundles of clinical and imaging arguments for which the ophthalmologist plays an important role. In this patient, papillary edema was suggestive of the underlying pathology and prompted us to do more investigation.

Keywords: Papillary Edema; Brain Abscess; Guinea

References

  1. Killer HE., et al. “Papilledema revisited: is its pathophysiology really understood?” Clinical and Experimental Ophthalmology 37  (2009): 444-447.
  2. Bakayoko S., et al. “Bilateral papillary edema secondary to intracranial hypertension in a teenage girl”. Pan African Medical Journal 26 (2017): 123.
  3. Kamami-Levy C and Vignal-Clermont DC. “Conduct to be held in front of a papillary edema”. 8.72 (2014): 57-62.
  4. Pearson RD. “Toxoplasmosis - Infectious diseases”. Edition Prof Man MSD (2021).
  5. Greenlee JE. “Brain abscess - Neurological disorders”. Prof Man MSD Edition (2021).
  6. Garrity J. “Papillary edema - Eye disorders”. Prof Man MSD Edition (2021).
  7. Killer HE., et al. “Cerebrospinal fluid dynamics between the intracranial and the sub- arachnoid space of the optic nerve. Is it always bidirectional?” Brain2 (2007): 514-520.
  8. F Proust., et al. “Castel. Intracranial hypertension”. Neurosurgery Campus (2021).
  9. Schmidt M., et al. “Clinical features and outcomes in patients with disseminated toxoplasmosis admitted to intensive care: a multicenter study”. Clinical Infectious Diseases 57 (2013): 1535-1541.
  10. Tan IL., et al. “HIV-associated opportunistic infections of the CNS”. Lancet Neurology 11 (2012): 605-617.
  11. Cabié A. “Cotrimoxazole for therapy of toxoplasmic encephalitis in patients with AIDS”. La Lettre de l’Infectiologue 5 (2006): 218-221.
  12. Timmermans G., et al. “Primary “pseudotumor cerebri” syndrome or idiopathic intracranial hypertension: clinical features and treatment”. Revue Médicale de Liège 10 (2015): 488-494.
  13. Haute Autorité de la Santé (HAS). Diagnostic toxopl asmose biologique de la chez le s immunodéprimé-Argumentaire. Mai (2017).
  14. Magalhaes E., et al. “Cerebral toxoplasmosis”. Reanimation 24 (2015): 337-340.

Citation

Citation: Maxime Dantouma Sovogui1., et al. “A Case of Papillary Edema Revealing a Cerebral Abscess with Toxoplasma gondii, at the Maurice Ophthalmological Clinic”.Acta Scientific Medical Sciences 6.2 (2022): 142-146.

Copyright

Copyright: © 2022 Maxime Dantouma Sovogui1., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.403

Indexed In





News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is December 15, 2022.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of “Best Article of the Issue”.
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.
  • Contact US