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KMID : 1130620070030040212
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Journal of Clinical Neurology
2007 Volume.3 No. 4 p.212 ~ p.214
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Complete Binocular Blindness as the First Manifestation of HIV-Related Cryptococcal Meningitis
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Hong Yun-Jeong
Jung San
Kim Ji-Young
Kwon Seok-Beom
Song Ki-Bong
Hwang Sung-Hee
Min Yang-Ki
Kwon Ki-Han
Lee Byung-Chul
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Abstract
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Ocular complications of HIV-related cryptococcal meningitis are reasonably common, but complete binocular blindness as the first manifestation of HIV is extremely rare. A 58-year-old man presented with binocular blindness. He experienced blurred vision for 3 days before the blindness. Mild pleocytosis was present in the cerebrospinal fluid, from which Cryptococcus neoformans was cultured. Serology revealed positivity for HIV antibody. He was treated with antifungal and antiretroviral therapy. This case indicates that HIV-related cryptococcal meningitis should be taken into consideration when determining the cause of unexpected sudden binocular blindness
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KEYWORD
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HIV-related cryptococcal meningitis, Complete binocular blindness
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