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November 24, 2025CureusOpen Access

Unmasking Neurosarcoidosis in a Patient With Acute Meningitis Features

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Authors

TTTun TunHorton General HospitalIAIman Al-RifaieHorton General Hospital

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Implication

Case report reveals neurosarcoidosis misdiagnosed as meningoencephalitis in an immunosuppressed man, suggesting early diagnosis is crucial.

Key Points

  • Neurosarcoidosis was diagnosed after presenting symptoms mimicked those of meningoencephalitis, leading to confusion in treatment.
  • Initial lumbar puncture showed mild pleocytosis with lymphocytic predominance, but cultures were negative, indicating the need for further investigation.
  • Comprehensive imaging and biopsy confirmed granulomatous inflammation, ultimately guiding effective treatment with steroids, improving patient outcomes significantly through timely intervention in this case.

Cite This Study

Tun et al. (2025) studied this question.

synapsesocial.com/papers/69403ba12d562116f290ca61https://doi.org/10.7759/cureus.97633
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Aseptic meningitis with recurrent headache episodes, vomiting, and central fever as first manifestation of isolated neurosarcoidosis: a case report2024 · 1 citations
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  3. 3Neurosarcoidosis Presenting as Aseptic Meningitis in an Immunosuppressed Renal Transplant Recipient2016 · 5 citations
  4. 4Clinical features, treatment and outcome in neurosarcoidosis: systematic review and meta-analysis2016 · 354 citations
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