Vertical Gaze Palsy and Fever in a 53 Year-Old, HIV-Positive Man

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Identifier walsh_2006_s4_c1
Title Vertical Gaze Palsy and Fever in a 53 Year-Old, HIV-Positive Man
Creator Nicholas J. Volpe, MD; Gil Binenbaum, MD; Jane Z. Portnoy, MD
Affiliation Philadelphia, Pennsylvania
Subject Nocardia Infections; Brain Stem Infarctions; Acquired Immunodeficiency Syndrome; HIV Infections; Horner Syndrome; Ocular Motility Disorders; Diplopia; Oculomotor Nerve Diseases
History A 53-year old male with a 2-day history of vertical, binocular diplopia accompanied by worsening headache, slurred speech, unsteady gait and right face, arm and leg numbness the week previous. Previous history significant for HIV infection, hepatitis B and C and Hodgkin's lymphoma.
Pathology Vasogenic edema
Disease/Diagnosis Nocardia brainstem abscess
Clinical VA: 20/25 OU
Presenting Symptom Diplopia; Headache; Right-sided arm, leg and facial numbness
Neuroimaging CT; MRI
Treatment IV steroids
Date 2006
References 1: Fihman V, Bercot B, Mateo J, Losser MR, Raskine L, Riahi J, Loirat P, Pors MJ. First successful treatment of Nocardia farcinica brain abscess with moxifloxacin. J Infect. 2005 Sep 20; [Epub ahead of print] 2: Sichizya K, Fieggen G, Taylor A, Peter J. Brain abscesses--the Groote Schuur experience, 1993-2003. S Afr J Surg. 2005 Aug;43(3):79-82. 3: Barnaud G, Deschamps C, Manceron V, Mortier E, Laurent F, Bert F, Boiron P, Vinceneux P, Branger C. Brain abscess caused by Nocardia cyriacige- orgica in a patient with human immunodeficiency virus infection. J Clin Microbiol. 2005 Sep;43(9):4895-7. 4: Valarezo J, Cohen JE, Valarezo L, Spektor S, Shoshan Y, Rosenthal G, Umansky F. Nocardial cerebral abscess: report of three cases and review of the current neurosurgical management. Neurol Res. 2003 Jan;25(1):27-30. 5: Bertoldi RV, Sperling MR. Nocardia brain stem abscess: diagnosis and response to medical therapy. Bull Clin Neurosci. 1984;49:99-104.
Language eng
Format application/pdf
Type Text
Source 32nd Annual North American Neuro-Ophthalmology Society Meeting, 2006 Frank B. Walsh Session
Relation is Part of NANOS Annual Meeting Frank B. Walsh Sessions; 2006
Collection Neuro-Ophthalmology Virtual Education Library: Walsh Session Annual Meeting Archives: https://novel.utah.edu/Walsh/
Publisher North American Neuro-Ophthalmology Society
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Rights Management Copyright 2008. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
ARK ark:/87278/s6tq6495
Setname ehsl_novel_fbw
ID 178060
Reference URL https://collections.lib.utah.edu/ark:/87278/s6tq6495
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