Unusual manifestation in a case of nocardial meningitis.
A case of subacute progressive painful external ophthalmoplegia of the right eye in a 55-year-old woman is reported. CT scan of the brain, paranasal sinuses and orbits revealed normal findings. Tolosa-Hunt syndrome was diagnosed and high dose prednisolone was given. The patient later developed fever, confusion and stiffneck. Lumbar puncture showed grossly purulent CSF with Gram-positive coccobacilli and rod organism. CSF culture grew Nocardia spp. The patient made a complete recovery with trimethoprim-sulfamethoxazole treatment.
Department of Medicine, Faculty of Medicine, Khon Kaen University, Thailand.
V
V
Chotmongkol
T
T
Prathipanawatra
S
S
Tiamkao
D005260:Female; D006801:Humans; D016920:Meningitis, Bacterial / Q000150:complications / Q000175:diagnosis*; D008875:Middle Aged; D009617:Nocardia Infections / Q000150:complications / Q000175:diagnosis*; D009886:Ophthalmoplegia / Q000209:etiology