0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Focal Intracranial Mucormycosis Presenting as Chronic Meningitis

Paula G. Jones, MD; Ronald M. Gilman, MD; Antone A. Medeiros, MD; Jacob Dyckman, MD
JAMA. 1981;246(18):2063-2064. doi:10.1001/jama.1981.03320180055033.
Text Size: A A A
Published online

INTRACRANIAL mucormycosis occurs almost exclusively in patients with predisposing diseases. The infection is usually a result of either direct intracranial invasion or hematogenous spread. Isolated intracranial infection is rarely seen. We describe an unusual case of focal intracranial mucormycosis, presenting as chronic meningitis of several months' duration. A parameningeal focus, osteomyelitis of the clivus, was ultimately discovered, and the patient was successfully treated with neurosurgery and amphotericin B.

Report of a Case  A 61-year-old maintenance man was seen in an emergency room for headache on March 8, 1979, and was found to have mild hyperglycemia. One week later, diplopia developed and he was consequently admitted to the Miriam Hospital, Providence, RI.Physical examination revealed an alert, well-oriented man complaining of severe headache. Neurological examination demonstrated a right lateral rectus paralysis but otherwise gave normal results. The neck was supple. Serum glucose concentration was 286 mg/dL. There was no ketoacidosis. The

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();