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CASE REPORT
Year : 2019  |  Volume : 21  |  Issue : 2  |  Page : 97-99

Cryptococcal meningitis presenting as sixth nerve palsy


Department of Microbiology, Government TD Medical College, Alappuzha, Kerala, India

Correspondence Address:
Dr. Anitha Madhavan
Department of Microbiology, Government TD Medical College, Alappuzha, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jacm.jacm_10_19

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Clinical features of cryptococcal meningitis can often be non-specific in immunocompetent without neurological deficit. We present a case of a middle-aged female with no known co-morbidities who presented with sub-acute onset of occipital headache, vomiting and isolated 6th nerve palsy, photophobia and double vision of 2 weeks. It progressed with development of multiple nerve palsies, bilateral lower limb paresis and complete loss of vision. She had no evidence of immunosuppression.


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