Cryptococcal myelitis: a rare manifestation in immunocompetent patients

Neurological examination revealed flexor spasm of both lower limbs; muscle power 0/5 in left lower limb, right lower limb at knee and ankle joints, and 1/5 at right hip joint; exaggerated deep tendon reflexes in both lower limbs; and sensory impairment below umbilicus [right [greater than] left]. Ma...

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Bibliographic Details
Published in:Neurology India 2014-05, Vol.62 (3), p.321
Main Authors: Rai, Anand Kumar, Synmon, Baiakmenlang, Basumatary, Lakshya J, Das, Marami, Goswami, Munindra, Kayal, Ashok K
Format: Article
Language:English
Subjects:
Adolescent
Adult
Antifungal Agents - administration & dosage
Antifungal Agents - pharmacology
Antigens
Care and treatment
Case studies
Cryptococcosis - diagnosis
Cryptococcosis - drug therapy
Cryptococcosis - physiopathology
Cryptococcus
Cryptococcus - pathogenicity
Diagnosis
Fluconazole - administration & dosage
Fluconazole - pharmacology
Humans
Immunocompetence
Infections
Male
Medical treatment
Myelitis
Myelitis - diagnosis
Myelitis - drug therapy
Myelitis - physiopathology
NMR
Nuclear magnetic resonance
Patients
Proteins
Treatment Outcome
Citations: Items that cite this one
Online Access:Get full text
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Summary:Neurological examination revealed flexor spasm of both lower limbs; muscle power 0/5 in left lower limb, right lower limb at knee and ankle joints, and 1/5 at right hip joint; exaggerated deep tendon reflexes in both lower limbs; and sensory impairment below umbilicus [right [greater than] left]. Magnetic resonance imaging (MRI) of cervicodorsal spine with screening of whole spine showed long segment dorsal cord (D4-D13) patchy hyper intensity in T2-weighted images [Figure 1]a. Cerebrospinal fluid examination (CSF) revealed protein 142 mg%, sugar 50 mg%, total cells 95 [5% polymorphs and 95% were lymphocytes].
ISSN:0028-3886
1998-4022
DOI:10.4103/0028-3886.137007