Cryptococcal Meningitis Presenting with Isolated Sixth Cranial Nerve Palsy in a Patient with Systemic Lupus Erythematosus

• DOI: 10.3346/jkms.2008.23.1.153
• Publication Date: 2008-08-04T04:32:05Z
• Authors: Seung-Ki Kwok; Soo-Hong Seo; Ji Hyeon Ju; Chong-Hyeon Yoon; Soo Chul Park; Bum Soo Kim; Ho-Youn Kim; Sung-Hwan Park
• Keywords: Adult; Male; 03 medical and health sciences; 0302 clinical medicine; Humans; Lupus Erythematosus, Systemic; Case Report; Meningitis, Cryptococcal; Abducens Nerve Diseases; 3. Good health

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.