Unusual manifestation in a case of nocardial meningitis
Chotmongkol, V.; Prathipanawatra, T.; Tiamkao, S.
Journal of the Medical Association of Thailand 76(11): 638-640
1993
ISSN/ISBN: 0125-2208 PMID: 7964240 Document Number: 405575
A case of subacute progressive painful external ophthalmoplegia of the right eye in a 55-year-old woman is reported. CT scan of the brain, paranasal sinuses and orbits revealed normal findings. Tolosa-Hunt syndrome was diagnosed and high dose prednisolone was given. The patient later developed fever, confusion and stiffneck. Lumbar puncture showed grossly purulent CSF with Gram-positive coccobacilli and rod organism. CSF culture grew Nocardia spp. The patient made a complete recovery with trimethoprim-sulfamethoxazole treatment.