العلاج الأول لداء المقوسات العيني الحاد

References

• The treatment of ocular toxoplasmosis includes both antimicrobial drugs and corticosteroids (topical and oral) and is maintained for 4–6 weeks.
• The first choices include one of the following combination regimens: (1) pyrimethamine, sulfadiazine, folinic acid and prednisone; (2) pyrimethamine, clindamycin, folinic acid and prednisone; (3) pyrimethamine, sulfadiazine, clindamycin, folinic acid and prednisone.
• Corticosteroids are usually initiated 3 days after the start of antibiotic therapy and must be suspended at least 10 days before the antimicrobial drugs.
• Intravitreal treatment may also be necessary in cases with fovea involvement or active lesion(s) within zone 1 as an adjunctive to systemic therapy.
• Typically, toxoplasmic retinochoroiditis in immunocompetent patients is expected to resolve within 1 to 2 months.