Keywords
Neuroimaging, abscess, immunocompromised, toxoplasmosis, PCNSL, idiopathic CD4 leukocytopenia
Abstract
Other than acute cerebrovascular accidents, multiple ring-enhancing lesions are among the most common lesions encountered in neuroimaging. We herein describe the case of a 63-year-old diabetic man presenting with altered mental status, hyperglycaemia and community-acquired pneumonia who was found to have two ring-enhancing lesions involving the left frontal lobe and left basal ganglia. The lesions were biopsied to reveal positive fungal cultures and toxoplasma cysts. RPR titres returned reactive for non-treponemal antibodies and a suppressed CD4 count was found without evidence of HIV infection.
References
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Published:
2019-04-10
Issue:
Vol 6 No 4
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