Khosrodad, Nadia and Khine, Justin and Maclean, Jeffrey and Abhishek, Fnu (2019) When Do Ring-Enhancing Brain Lesions Need to Be Biopsied, and Should They Be Treated Empirically First? European Journal of Case Reports in Internal Medicine, 6 (4). ISSN 2284-2594
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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.
| Item Type: | Article |
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| Uncontrolled Keywords: | Neuroimaging, abscess, immunocompromised, toxoplasmosis, PCNSL, idiopathic CD4 leukocytopenia |
| Subjects: | 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) |
| Depositing User: | Chiara D'Arpa |
| Date Deposited: | 10 Jun 2019 14:43 |
| Last Modified: | 10 Jun 2019 14:43 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/18983 |
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