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.
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Authors | V Chotmongkol, T Prathipanawatra, S Tiamkao |
Journal | Journal 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 |
PMID | 7964240
(Publication Type: Case Reports, Journal Article)
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Topics |
- Female
- Humans
- Meningitis, Bacterial
(complications, diagnosis)
- Middle Aged
- Nocardia Infections
(complications, diagnosis)
- Ophthalmoplegia
(etiology)
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