First, the Sabin-Feldman dye test is specific for Toxoplasma gondii. That test checks for antibodies against Toxoplasma, which is a protozoan parasite. The presentation here includes ocular issues like chorioretinitis, which is a classic finding in toxoplasmosis. The patient's occupation as a butcher and eating raw meat are risk factors because Toxoplasma is found in undercooked meat, especially pork, lamb, and venison.
The symptoms listed—fatigue, lymphadenopathy—are non-specific but align with a systemic infection. The retinal lesions and vitritis point towards ocular involvement. Toxoplasma can cause retinochoroiditis, which might present with these findings. The Sabin-Feldman test is actually a specific test for T. gondii, so a positive result here is a strong indicator.
Now, considering other options. If the answer choices were, say, Toxoplasma, Toxocara, Trichinella, or something else. Toxocara can cause ocular larva migrans but is more common in children with a history of pica or exposure to soil. Trichinella causes trichinosis from undercooked pork, leading to muscle pain and eosinophilia, but not chorioretinitis. Cysticercosis from Taenia solium can cause neurological symptoms but not typically chorioretinitis. So the key here is the specific lab test and the ocular findings pointing to Toxoplasma.
The clinical pearl here is that the Sabin-Feldman dye test is the gold standard for T. gondii, and ocular toxoplasmosis is a common manifestation in immunocompetent individuals. Also, the risk factors (butcher, raw meat) align with Toxoplasma transmission.
**Core Concept**
The question tests knowledge of *Toxoplasma gondii* infection, a protozoan parasite transmitted via undercooked meat. The Sabin-Feldman dye test is a **gold-standard serologic assay** for diagnosing acute toxoplasmosis, and ocular manifestations like chorioretinitis are hallmark complications.
**Why the Correct Answer is Right**
*Toxoplasma gondii* causes systemic infection with ocular involvement (chorioretinitis) in immunocompetent hosts. The Sabin-Feldman dye test detects **IgM antibodies** against T. gondii, confirming acute infection. The patient’s occupation (butcher) and consumption of raw meat (a common source of T. gondii) are key risk factors. Ocular lesions with vitritis and retinal involvement are classic in toxoplasmosis.
**Why Each Wrong Option is Incorrect**
**Option A:** *Toxocara canis* causes ocular larva migrans (e.g., granulomatous uveitis), but it is linked to soil contamination or animal contact, not raw meat.
**Option B:** *
Free Medical MCQs · NEET PG · USMLE · AIIMS
Access thousands of free MCQs, ebooks and daily exams.
By signing in you agree to our Privacy Policy.