J Korean Med Sci.
2008 Feb;23(1):153-155. 10.3346/jkms.2008.23.1.153.
Cryptococcal Meningitis Presenting with Isolated Sixth Cranial Nerve Palsy in a Patient with Systemic Lupus Erythematosus
- Affiliations
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- 1Division of Rheumatology, Department of Internal Medicine, School of Medicine, The Catholic University of Korea, Seoul, Korea. rapark@catholic.ac.kr
- 2Department of Ophthalmology, School of Medicine, The Catholic University of Korea, Seoul, Korea.
- 3Department of Radiology, School of Medicine, The Catholic University of Korea, Seoul, Korea.
- KMID: 1786865
- DOI: http://doi.org/10.3346/jkms.2008.23.1.153
Abstract
- Cryptococcal meningitis is a rare complication of systemic lupus erythematosus (SLE). The nonspecific neurologic findings associated with this infection delays accurate diagnosis because initial neuropsychiatric manifestations of SLE are in instances indistinguishable from that of crytococcal meningitis. We report a case of cryptococcal meningitis presenting with unilateral sixth cranial nerve palsy in a male patient with SLE, which was successfully treated with antifungal agents.
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