{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T10:27:02Z","timestamp":1771669622552,"version":"3.50.1"},"reference-count":7,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Toxoplasma is a leading cause of posterior uveitis in immunocompetent patients manifesting as a focal posterior retinochoroiditis. The clinical diagnosis of ocular toxoplasmosis is usually straightforward. There is typically a fluffy white retinal lesion which may lie adjacent to a pigmented chorioretinal scar and a prominent vitreous, or additionally, anterior chamber cellular reaction. Several unusual presentations in ocular toxoplasmosis have been reported, including: papillitis, neuroretinitis, retrobulbar neuritis, retinal detachment and macular oedema. This is a case of presumed primary toxoplasma papillitis in a 14-year-old child with complete absence of vitritis at presentation that made the diagnosis challenging. This evolved into neuroretinitis that resolved upon introducing antitoxoplasma antibiotics.<\/jats:p>","DOI":"10.1136\/bcr-2013-008962","type":"journal-article","created":{"date-parts":[[2013,4,10]],"date-time":"2013-04-10T04:21:29Z","timestamp":1365567689000},"page":"bcr2013008962","source":"Crossref","is-referenced-by-count":2,"title":["The absence of vitreous inflammation: one more challenge in diagnosing toxoplasma papillitis"],"prefix":"10.1136","volume":"2013","author":[{"given":"Michael Adly","family":"Mikhail","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohan","family":"Varikkara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,4,9]]},"reference":[{"key":"2025042707135631000_2013.apr09_1.bcr2013008962.1","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1016\/S0161-6420(84)34329-9","article-title":"Presumed toxoplasmic papillitis","volume":"2013","author":"Folk","year":"1984","journal-title":"Ophthalmology"},{"key":"2025042707135631000_2013.apr09_1.bcr2013008962.2","doi-asserted-by":"crossref","first-page":"1177","DOI":"10.1016\/S0161-6420(13)31511-5","article-title":"Toxoplasma neuroretinitis","volume":"2013","author":"Fish","year":"1993","journal-title":"Ophthalmology"},{"key":"2025042707135631000_2013.apr09_1.bcr2013008962.3","first-page":"65","article-title":"Laboratory investigations in posterior uveitis","volume":"2013","author":"Rahi","year":"1995","journal-title":"Int Ophthalmol Clin"},{"key":"2025042707135631000_2013.apr09_1.bcr2013008962.4","first-page":"456","article-title":"Diagnostic approach to ocular toxoplasmosis","volume":"2013","author":"Garweg","year":"2011","journal-title":"Ocul Immunol Inflamm"},{"key":"2025042707135631000_2013.apr09_1.bcr2013008962.5","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1016\/j.ajo.2005.09.017","article-title":"Polymerase chain reaction and Goldmann-Witmer coefficient analysis are complimentary for the diagnosis of infectious uveitis","volume":"2013","author":"De Groot-Mijnes","year":"2006","journal-title":"Am J Ophthalmol"},{"key":"2025042707135631000_2013.apr09_1.bcr2013008962.6","doi-asserted-by":"crossref","first-page":"858","DOI":"10.1136\/bjo.82.8.858","article-title":"Sense and nonsense of corticosteroid administration in the treatment of ocular toxoplasmosis. Commentary","volume":"2013","author":"Bosch-Driessen","year":"1998","journal-title":"Br J Ophthalmol"},{"key":"2025042707135631000_2013.apr09_1.bcr2013008962.7","first-page":"385","article-title":"Diagnostic and therapeutic challenges","volume":"2013","author":"McDonald","year":"2007","journal-title":"Retina"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-008962","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T14:14:04Z","timestamp":1745763244000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-008962"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,4,9]]},"references-count":7,"alternative-id":["10.1136\/bcr-2013-008962"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-008962","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,4,9]]}}}