title: Seronegative neuromyelitis optica after cardiac transplantation.
abstract: We report a case of a 42-year-old man who presented with progressive weakness and blindness over the course of several months and met criteria for seronegative neuromyelitis optica. This presentation was in the setting of immunosuppression following cardiac transplant. No infectious causes were found within the neuroaxis, and he ultimately died with complete blindness, quadriplegia, and respiratory failure attributed to panmyelitis and brain stem inflammation despite aggressive therapies.
authors.affiliation: Department of Internal Medicine (Kim), Department of Pathology (Van Vrancken), Division of Neurology (Mir, Shamim), Division of Infectious Diseases (Spak), and Division of Neuroradiology (Gupta), Baylor University Medical Center at Dallas.
authors.forename: Elecia
authors.initials: E
authors.lastname: Kim
authors.affiliation: Department of Internal Medicine (Kim), Department of Pathology (Van Vrancken), Division of Neurology (Mir, Shamim), Division of Infectious Diseases (Spak), and Division of Neuroradiology (Gupta), Baylor University Medical Center at Dallas.
authors.forename: Michael
authors.initials: M
authors.lastname: Van Vrancken
authors.affiliation: Department of Internal Medicine (Kim), Department of Pathology (Van Vrancken), Division of Neurology (Mir, Shamim), Division of Infectious Diseases (Spak), and Division of Neuroradiology (Gupta), Baylor University Medical Center at Dallas.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Shaji
authors.affiliation: Department of Internal Medicine (Kim), Department of Pathology (Van Vrancken), Division of Neurology (Mir, Shamim), Division of Infectious Diseases (Spak), and Division of Neuroradiology (Gupta), Baylor University Medical Center at Dallas.
authors.forename: Osman
authors.initials: O
authors.lastname: Mir
authors.affiliation: Department of Internal Medicine (Kim), Department of Pathology (Van Vrancken), Division of Neurology (Mir, Shamim), Division of Infectious Diseases (Spak), and Division of Neuroradiology (Gupta), Baylor University Medical Center at Dallas.
authors.forename: Cedric W
authors.initials: CW
authors.lastname: Spak
authors.affiliation: Department of Internal Medicine (Kim), Department of Pathology (Van Vrancken), Division of Neurology (Mir, Shamim), Division of Infectious Diseases (Spak), and Division of Neuroradiology (Gupta), Baylor University Medical Center at Dallas.
authors.forename: Manu
authors.initials: M
authors.lastname: Gupta
authors.affiliation: Department of Internal Medicine (Kim), Department of Pathology (Van Vrancken), Division of Neurology (Mir, Shamim), Division of Infectious Diseases (Spak), and Division of Neuroradiology (Gupta), Baylor University Medical Center at Dallas.
authors.forename: Sadat A
authors.initials: SA
authors.lastname: Shamim