Melioidosis and bilateral third-nerve palsies.

Abstract:

:Central nervous system involvement in melioidosis is unusual. We describe a 34-year-old man who developed a Pseudomonas pseudomallei meningitis, manifested as bilateral third-nerve palsies, 13 years after having been in southeast Asia. Diagnosis was established by a fourfold rise in the serum antibody titer for the bacterium. Recovery occurred after treatment with rifampin, isoniazid hydrochloride, ethambutol, and trimethoprim-sulfamethoxazole. Since a long latent period from exposure to overt infection is possible, additional cases of melioidosis in the United States can still be expected in veterans of the Vietnam War.

journal_name

Neurology

journal_title

Neurology

authors

Beck RW,Janssen RS,Smiley ML,Schatz NJ,Savino PJ,Rubin DH

doi

10.1212/wnl.34.1.105

subject

Has Abstract

pub_date

1984-01-01 00:00:00

pages

105-7

issue

1

eissn

0028-3878

issn

1526-632X

journal_volume

34

pub_type

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