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Spontaneous Recovery Phenomenon In The Presumed Ocular Histoplasmosis Syndrome

Orlando & Davidorf, 1983Other/Unknown

International Ophthalmology Clinics 23(2): 1983; 137-149

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Abstract

A case of pulmonary paracoccidioidomycosis with spontaneous regression of the roentgenologic lesions is reported. Regression of lesions took place within ten weeks, with the original infiltrates being replaced by fibrotic lines. The implication of this finding in the pathogenesis of paracoccidioidomycosis is analyzed.

Case Details

Personal Characteristics

30-year-old woman

Clinical Characteristics

Lost central vision in the left eye owing to pohs, presented with symptoms of metamorphopsia and decreased vision in the right eye

Remission Characteristics

Vision suddenly improved to 20/60 from finger counting in the opposite eye, without ophthalmoscopical changes in the macula

Treatment & Mechanisms

Proposed Remission Mechanisms

Not discussed

Clinical Treatment

Histoplasmosis desensitization, subtenial injection of steroids, parenteral corticosteroids