Toxoplasmic papillitis as the initial manifestation of acquired immunodeficiency syndrome.

Toxoplasmic retinochoroiditis has been reported as the initial manifestation of acquired immunodeficiency syndrome (AIDS). Two authors have described two patients with AIDS and toxoplasmic papillitis. We report the case of a patient with a papillitis of unknown origin in whom the workup found systemic toxoplasmosis and subsequent positive human immunodeficiency virus status. To our knowledge, this is the first reported case of toxoplasmic papillitis as the initial manifestation of AIDS.