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Papers of the Week


2022 Mar


Radiol Case Rep


17


3

Conglomerate ring and tract-like enhancement lesions: Neuroimaging in brain abscess.

Authors

Thiankhaw K, Wantaneeyawong C, Madla C
Radiol Case Rep. 2022 Mar; 17(3):676-679.
PMID: 35003459.

Abstract

This report aims to describe a characteristic neuroimaging of brain abscess in predisposed patients. A 56-year-old man presented with fever and headache for 3 weeks. Cerebrospinal fluid (CSF) revealed pleocytosis with lymphocytosis, high protein, and low glucose. Both hemoculture and CSF culture yielded Another case is a 23-year-old woman with systemic lupus erythematosus, who presented with fever, headache and left hemiparesis. CSF showed pleocytosis with polymorphonuclear cells predominance and low glucose. Hemoculture positive for Their MRI brain revealed conglomerate ring and tract-like enhancement lesions at the right parietotemporal lobe. The patients were diagnosed with brain abscess. They received a high dose of ceftriaxone and ampicillin for 6 weeks. The clinical and MRI at the end of treatment was a substantial improvement. Our information can help the physician concern about this pathogen in patients who presented with brain abscess and had these MRI findings.