case_images: PMC10837647_01
case_images: MRI diffusion-weighted imaging shows areas of increased signal, representing areas of acute subarachnoid blood and small cortical infarcts (arrows).
case_images: cureus-0016-00000051628-i01.jpg
case_images: PMC10837647_01_cureus-0016-00000051628-i01.jpg
case_images: FIG1
case_images: A T2-weighted MRI of the brain without contrast shows areas of increased signal, representing areas of acute subarachnoid blood and small cortical infarcts (arrows).
case_images: cureus-0016-00000051628-i02.jpg
case_images: PMC10837647_01_cureus-0016-00000051628-i02.jpg
case_images: FIG2
case_images: A post-contrast fluid-attenuated inversion recovery (FLAIR) sequence MRI of the brain shows subarachnoid hemorrhage with areas of cortical and leptomeningeal enhancement consistent with cerebritis, subarachnoid hemorrhage, and meningitis (arrows).
case_images: cureus-0016-00000051628-i03.jpg
case_images: PMC10837647_01_cureus-0016-00000051628-i03.jpg
case_images: FIG3
case_images: A T1 post-contrast MRI brain demonstrates pachymeningeal leptomeningeal enhancement as well as areas of cortical edema (arrows).
case_images: cureus-0016-00000051628-i04.jpg
case_images: PMC10837647_01_cureus-0016-00000051628-i04.jpg
case_images: FIG4
case_images: A non-contrast CT scan of the head shows right frontal subarachnoid and subdural hemorrhage with scattered small parenchymal bleeds (arrows).
case_images: cureus-0016-00000051628-i05.jpg
case_images: PMC10837647_01_cureus-0016-00000051628-i05.jpg
case_images: FIG5
case_images: A non-contrast CT scan of the abdomen demonstrates bilateral renal cortical infarcts (arrows).
case_images: cureus-0016-00000051628-i06.jpg
case_images: PMC10837647_01_cureus-0016-00000051628-i06.jpg
case_images: FIG6
case_images: A non-contrast CT scan of the abdomen demonstrates splenic infarct and small pleural effusions (arrows).
case_images: cureus-0016-00000051628-i07.jpg
case_images: PMC10837647_01_cureus-0016-00000051628-i07.jpg
case_images: FIG7
case_images: Follow-up MRI susceptibility-weighted imaging shows numerous tiny parenchymal bleeds, infarcts, and extra-axial hemorrhages (arrows).
case_images: cureus-0016-00000051628-i08.jpg
case_images: PMC10837647_01_cureus-0016-00000051628-i08.jpg
case_images: FIG8
case_images: The FLAIR imaging shows evolving extra-axial and parenchymal hemorrhages with areas of cerebritis; phlegmonous changes are visualized on the right (arrows).. FLAIR: fluid-attenuated inversion recovery
case_images: cureus-0016-00000051628-i09.jpg
case_images: PMC10837647_01_cureus-0016-00000051628-i09.jpg
case_images: FIG9