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What is your preferred regimen for treating recalcitrant and recurrent macula-threatening ocular toxoplasmosis?

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Mednet Member
Mednet Member
Ophthalmology · Tennessee Retina Pc

Treatment options for ocular toxoplasmosis include:

  1. Trimethoprim/sulfamethoxazole (Bactrim)
  2. Azithromycin
  3. Pyrimethamine + sulfadiazine + folinic acid
  4. Atovaquone
  5. Oral clindamycin
  6. Intravitreal clindamycin

I usually start with Bactrim DS PO BID. If a patient is sulfa allergic or pregnant, I start with a...

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