| Autor: |
Germaine Rival, Onyi Okorji, Rachael Kern, Preya Patel, Kate Fradeneck, Darragh Cullen |
| Jazyk: |
angličtina |
| Rok vydání: |
2021 |
| Předmět: |
|
| Zdroj: |
Clinical Practice and Cases in Emergency Medicine, Vol 5, Iss 4 (2021) |
| Druh dokumentu: |
article |
| ISSN: |
2474-252X |
| DOI: |
10.5811/cpcem.2021.8.53347 |
| Popis: |
Introduction: Cranial nerve (CN) VI palsy is a common complaint seen in the emergency department (ED) and has a wide range of causes. Bilateral CN VI palsies are uncommon and appear to be associated with more severe complications. Case Report: A 29-year-old male presented to the ED from an ophthalmology office for diplopia, headache, and strabismus. He was found to have bilateral CN VI palsies and new-onset seizure in the ED. A lumbar puncture revealed cryptococcal meningitis. Additional tests revealed a new diagnosis of human immunodeficiency virus (HIV), acquired immunodeficiency syndrome (AIDS), and syphilis. Conclusion: Cryptococcal meningitis remains a life-threatening complication of HIV/AIDS. Coinfections with HIV, particularly syphilis, further complicate a patient’s prognosis as both can lead to devastating neurological sequelae. In cryptococcal meningitis, elevated intracranial pressure is a complication that can manifest as seizures, altered mental status, and cranial nerve palsies. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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