Dear all students, residents, fellows, staffs, and others
This fascinating CPC case is a 15-year-old male who presented with refractory chorioretinitis (with positive Toxoplasma PCR of vitreous aspirate) for 28 months, increased ICP from homogeneous enhancing hyperintense calcified mass at pineal gland (pathology exhibiting epitheloid histiocytes mixed with lymphocytes as well necrotic franklins) and small enhancing nodule at pituitary stalk causing obstructive hydrocephalus requiring several revisions of VP shunt for 26 months. Both chorioretinitis and brain mass did seem to respond to treatment with anti-Toxoplasma, anti-TB, and immunosuppressive agents.
Every one is very much welcome to make comments or open the discussion na krub
Chusana