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KMID : 0388220090160040333
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Journal of the Korean Rheumatism Association
2009 Volume.16 No. 4 p.333 ~ p.337
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Listeria Monocytogenes Meningitis Presenting with Bilateral Abducens Nerve Palsy in a Patient with Systemic Lupus Erythematosus
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Hwang You-Mi
Kwok Seung-Ki
Kim Ji-Min
Yoon Ho-Sung
Ju Ji-Hyeon
Park Kyung-Su
Park Sung-Hwan
Kim Ho-Youn
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Abstract
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Infection still remains a major cause of morbidity and mortality in systemic lupus erythematosus (SLE). Patients with SLE are well known to have an increased risk of various opportunistic infections, which can be fatal. Central nervous system (CNS) infections such as meningitis are rare complications to SLE. On occasion, nonspecific neurologic manifestations of infectious meningitis in SLE patients can be confused with neuropsychiatric lupus. Listeria monocytogenes is a less-commonly identified organism causing meningitis in SLE patients. Here, we describe a case of Listeria monocytogenes meningitis presenting with bilateral abducens nerve (sixth cranial nerve) palsy in a patient with SLE, who was successfully treated with systemic antibiotics.
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KEYWORD
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Systemic lupus erythematosus, Listeria monocytogenes, Meningitis, Neuropsychiatric lupus
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