Suggest Treatment For Severe Headaches And Reactive Retina Toxoplasmosis

Posted on Sun, 30 Aug 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sun, 30 Aug 2015 Answered on

Mon, 21 Sep 2015 Last reviewed on

Question : hi I was diagnosed with reactive retina toxoplasmosis, in XXXXXXX I was on bacterium clyndmiicin and steroid for 8 weeks after stopping meds my vision in left eye has gotten back to before meds I can only see out of top of left eye. I do have app with new specialist on the 1st, because I feel Dr didn't treat properly . my question is I get horrible pains in left eye behind eye, bad headaches and my focus and concretion is off feels like my thought process is messed up and nerves do get bad, I noticed before diagnosis I was like this and once starting meds I was able to think more clearly and actually enjoy things again but now being off meds im feeling the pains again and feeling like I can't get my brain together is this from toxoplasmosis possibly ? tia

Answered by Dr. Prasanna Heijebu (5 hours later)

Brief Answer:
Symptoms are directly related to Toxoplasmosis.

Detailed Answer:
Hello, Madam.

I understand your concern.

Yes, absolutely the symptoms are directly related to Toxoplasmosis.

Inadequate treatment is the most likely cause in your case. Relapse of the disease can also be a cause

Symptoms may result from retrobulbar(beyond the eyeball)spread of the infection.This can run the r risk on infecting brain structures.

I advise you to get a B - mode ocular ultrasound scan for better assessment of your eye condition.

Along with chemotherapy, photocoagulation can be an excellent therapeutic option.Discuss with your physician with regards to above.

Post your further queries if any.

Thank you.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Prasanna Heijebu (2 hours later)

try for answering back, not really the news I wanted to hear but had a thought that this was causing this to happen, It scares me because I know how dangerous toxo can be, another question is should I start antibiotics and steroids again until I can see Dr on Tuesday or should I just wait it out, I taking tynole but not helping much for the pains

Answered by Dr. Prasanna Heijebu (11 hours later)

Brief Answer:
Start drugs after consulting your doctor.

Detailed Answer:
Hello, Madam.

I understand your concern.

Do not get tensed madam.

Restating the antibiotics and steroids would be ideal.

Clindamycin is alone not effective.

I generally recommend a 6-week regimen with 3 antibiotics to my NON-PREGNANT patients.This includes Pyrimethamine plus clindamycin plus leucovorin plus cotrimoxazole.Steroids should be additionally indicated.Please check with your doctor if he shares my view and if can prescribe them to you.

It's always better to consult your doctor on Tuesday and start the treatment.

Tynole will not be much help.

It's important that you undergo a B-mode ultrasound scan of the eye meanwhile as earlier mentioned in my earlier response.

Post your further queries, if any.

Thank you.

Above answer was peer-reviewed by : Dr. Raju A.T