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Medicine JIPMER 2017 4a4099d6

Best management for an immunocompromised patient with the following fundus findings is?

A
Intravitreal steroids
B
Gancyclovir
C
Sulfadiazine plus pyrimethamine
D
Amphotericin-B
High-Yield Explanation
Toxoplasmosis: Head light in fog appearance MC seen in immunocompromised patient Rx: sulfadiazine plus pyrimethamine + folic acid Fundus picture showing a typical "Headlight in the Fog appearance" in a patient with acquired toxoplasmosis Caused by dense vitreous exudate or haze, giving the classic "headlight- in - a - fog" appearance. In AIDS Positive pt.- 1) CMV - CD4 <50 Tomato pizza cheese appearance Rx: Ganciclovir 2) Toxoplasmosis

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