case_images: PMC7472542_01
case_images: PMC7472542_02
case_images: (a) Right anterior thalamic infarct (arrow). (b) Left pontine and cerebellar infarcts (arrow), with leptomeningeal enhancement. (c) Possible microabscesses in left cerebellopontine angle (CPA; arrow). (d) New 13x7 mm consolidative abscess in left CPA cistern (arrow).
case_images: acmi-1-056-g001.jpg
case_images: PMC7472542_05_acmi-1-056-g001.jpg
case_images: F1
case_images: After completing approximately 3 weeks of antibiotics, he again underwent a head MRI scan, which showed no meningeal abnormality, but new subtle region of infarction in the left cerebellar peduncle, and a new consolidative abscess in the left cerebellopontine angle cistern, measuring 13x7 mm (Fig. 1d).
case_images: PMC7472542_03
case_images: PMC7472542_04
case_images: (a) Right anterior thalamic infarct (arrow). (b) Left pontine and cerebellar infarcts (arrow), with leptomeningeal enhancement. (c) Possible microabscesses in left cerebellopontine angle (CPA; arrow). (d) New 13x7 mm consolidative abscess in left CPA cistern (arrow).
case_images: acmi-1-056-g001.jpg
case_images: PMC7472542_05_acmi-1-056-g001.jpg
case_images: F1
case_images: After completing approximately 3 weeks of antibiotics, he again underwent a head MRI scan, which showed no meningeal abnormality, but new subtle region of infarction in the left cerebellar peduncle, and a new consolidative abscess in the left cerebellopontine angle cistern, measuring 13x7 mm (Fig. 1d).
case_images: Wright-Giemsa (upper panels) and Gram stain (lower panels) microscopy of CSF collected on DOC 1.
case_images: acmi-1-056-g002.jpg
case_images: PMC7472542_04_acmi-1-056-g002.jpg
case_images: F2
case_images: Because bacterial organisms were seen by Wright-Giemsa stains and Gram stains of the CSF (see Fig. 2), but no organisms grew in culture, we submitted the specimen to the University of Washington Molecular Microbiology Laboratory for universal bacterial PCR/sequencing.
case_images: PMC7472542_05
case_images: (a) Right anterior thalamic infarct (arrow). (b) Left pontine and cerebellar infarcts (arrow), with leptomeningeal enhancement. (c) Possible microabscesses in left cerebellopontine angle (CPA; arrow). (d) New 13x7 mm consolidative abscess in left CPA cistern (arrow).
case_images: acmi-1-056-g001.jpg
case_images: PMC7472542_05_acmi-1-056-g001.jpg
case_images: F1
case_images: After completing approximately 3 weeks of antibiotics, he again underwent a head MRI scan, which showed no meningeal abnormality, but new subtle region of infarction in the left cerebellar peduncle, and a new consolidative abscess in the left cerebellopontine angle cistern, measuring 13x7 mm (Fig. 1d).
case_images: PMC7472542_06