Complete Binocular Blindness as the First Manifestation of HIV-Related Cryptococcal Meningitis.
Ocular complications of HIV-related cryptococcal meningitis are reasonably common, but complete binocular blindness as the first manifestation of HIV is extremely rare. A 58-year-old man presented with binocular blindness. He experienced blurred vision for 3 days before the blindness. Mild pleocytosis was present in the cerebrospinal fluid, from which Cryptococcus neoformans was cultured. Serology revealed positivity for HIV antibody. He was treated with antifungal and antiretroviral therapy. This case indicates that HIV-related cryptococcal meningitis should be taken into consideration when determining the cause of unexpected sudden binocular blindness.
Hong
Yun-Jeong
YJ
Department of Neurology, Hallym University College of Medicine, Seoul, Korea.
Jung
San
S
Kim
Ji-Young
JY
Kwon
Seok-Beom
SB
Song
Ki-Bong
KB
Hwang
Sung-Hee
SH
Min
Yang-Ki
YK
Kwon
Ki-Han
KH
Lee
Byung-Chul
BC