Full text loading...
Abstract
Introduction:
A 41‐year‐old man with a history of alcoholic cirrhosis presented to Patan Hospital in Kathmandu, Nepal, with a severe headache.
Case presentation:
Clinical examination found an isolated sixth nerve palsy of the left side with normal blood parameters and a normal brain scan. An initial cerebrospinal fluid analysis found lymphocytosis, with a significantly elevated protein level and reduced glucose. Tubercular meningitis was considered; however, the patient did not improve and a re‐examination of the cerebrospinal fluid confirmed cryptococcal meningitis.
Conclusion:
After diagnosis the patient was treated with amphotericin B. Despite all efforts the patient died 5 days later.
- Received:
- Accepted:
- Published Online:
Keyword(s):
amphotericin B
,
cirrhosis
,
cryptococcal antigen lateral flow assay
,
headache
and
meningitis
© 2014 The Authors