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this post was submitted on 26 Jul 2025
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Not a med student, but I would rule out syphilis and tuberculosis. So I'd have a 1 in 3, not bad, not bad.
You can strike off toxoplasmosis as well.
Most likely a virus although fungal infections could also do it
https://eyewiki.org/Acute_Retinal_Necrosis
Actually the immuncompromised status makes me think of toxoplasmosis, these yellow cotton like atrophy can be seen in ocular toxoplasmosis. But not an eye doctor so what do I know.
Edit: on 2nd thought i think it might be virus, herpes zoster to be specific. Ocular herpes zoster is rare but immuncompromised makes it much more likely.
Yep VZV or HSV is most likely culprit (although there's a few others)
Edit Not likely toxoplasmosis because it's not usually necrotising, it's retinitising and lesions, but also not an opthamologist so what do I know either lol :-)