Cryptococcal meningitis presenting with isolated sixth cranial nerve palsy in a patient with systemic lupus erythematosus.
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.
Kwok
Seung-Ki
SK
Division of Rheumatology, Department of Internal Medicine, School of Medicine, The Catholic University of Korea, Seoul, Korea.
Seo
Soo-Hong
SH
Ju
Ji Hyeon
JH
Yoon
Chong-Hyeon
CH
Park
Soo Chul
SC
Kim
Bum Soo
BS
Kim
Ho-Youn
HY
Park
Sung-Hwan
SH
D020434:Abducens Nerve Diseases / Q000209:etiology*; D000328:Adult; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D008297:Male; D016919:Meningitis, Cryptococcal / Q000209:etiology*