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Unusual manifestation in a case of nocardial meningitis.

Abstract
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.
AuthorsV Chotmongkol, T Prathipanawatra, S Tiamkao
JournalJournal of the Medical Association of Thailand = Chotmaihet thangphaet (J Med Assoc Thai) Vol. 76 Issue 11 Pg. 638-40 (Nov 1993) ISSN: 0125-2208 [Print] Thailand
PMID7964240 (Publication Type: Case Reports, Journal Article)
Topics
  • Female
  • Humans
  • Meningitis, Bacterial (complications, diagnosis)
  • Middle Aged
  • Nocardia Infections (complications, diagnosis)
  • Ophthalmoplegia (etiology)

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