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During admission, the patient reported bilateral floaters and was subsequently found to have bilateral choroidal lesions suggestive of a partially treated cryptococcal choroiditis with normal vision. This case is, to our knowledge, the first report of cryptococcal choroiditis secondary to fingolimod therapy and reaffirms the importance of a high index of clinical suspicion of ocular infections in the setting of chronic immunosuppression.<\/jats:p>","DOI":"10.1136\/bcr-2024-261377","type":"journal-article","created":{"date-parts":[[2024,12,23]],"date-time":"2024-12-23T15:39:21Z","timestamp":1734968361000},"page":"e261377","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Fingolimod-associated cryptococcal choroiditis and osseous cryptococcosis in a case of relapsing\u2013remitting multiple sclerosis"],"prefix":"10.1136","volume":"17","author":[{"given":"Ishta","family":"Sharma","sequence":"first","affiliation":[{"name":"Medicine, King's College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dalia","family":"Abdulhussein","sequence":"additional","affiliation":[{"name":"King's College Hospital NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neda","family":"Minakaran","sequence":"additional","affiliation":[{"name":"King's College Hospital NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Harvey","sequence":"additional","affiliation":[{"name":"UCL Institute of Ophthalmology, London, UK"},{"name":"Moorfields Eye Hospital NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,12,22]]},"reference":[{"key":"2025082711224077000_17.12.e261377.1","doi-asserted-by":"publisher","DOI":"10.4103\/0976-500X.77118"},{"key":"2025082711224077000_17.12.e261377.2","unstructured":"Multiple sclerosis: how common is it?. 2024. 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