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KMID : 0191120080230010153
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Journal of Korean Medical Science
2008 Volume.23 No. 1 p.153 ~ p.155
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Cryptococcal Meningitis Presenting with Isolated Sixth Cranial Nerve Palsy in a Patient with Systemic Lupus Erythematosus
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Kwok Seung-Ki
Ju Ji-Hyeon
Park Sung-Hwan
Park Soo-Chul
Kim Ho-Youn
Seo Soo-Hong
Yoon Chong-Hyun
Kim Bum-Soo
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Abstract
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Cryptococcal meningitis is a rare complication of systemic lupus erythematosus (SLE). The nonspecific neurologic findings associated with this infection delays accurate diagnosis because initial neuropsychiatric manifestations of SLE are in instances indistinguishable from that of crytococcal meningitis. We report a case of cryptococcal meningitis presenting with unilateral sixth cranial nerve palsy in a male patient with SLE, which was successfully treated with antifungal agents.
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KEYWORD
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Lupus Erythematosus, Systemic, Meningitis, Cryptococcal, Abducens Nerve Palsy
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