case_images: PMC11614786_01
case_images: (A and C) show cerico-occipital soft tissue mass. (B and D) show disruption and sponging of the calvarium at the occipital and lefgt temporopariel bones.
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case_images: PMC11614786_01_gr1.jpg
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case_images: The left mastoid air cells and middle ear cavities are opacified (Fig. 1, Fig. 2, Fig. 3, Fig. 4, Fig. 5, Fig. 6, Fig. 7).
case_images: (A) Parietal occipital and left cerebellar hemisphere edema. (B) Soft tissue mass with heterogeneous signals.
case_images: gr3.jpg
case_images: PMC11614786_01_gr3.jpg
case_images: fig0003
case_images: The left mastoid air cells and middle ear cavities are opacified (Fig. 1, Fig. 2, Fig. 3, Fig. 4, Fig. 5, Fig. 6, Fig. 7).
case_images: T2WI vasogenic edema with T1+C pachymeningeal thickening and enhancement with intra parenchymal serpantine enhancement. Bilateral occipital and right temporoparietal soft tissue masses with postcontrast enhancement.
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case_images: PMC11614786_01_gr5.jpg
case_images: fig0005
case_images: The left mastoid air cells and middle ear cavities are opacified (Fig. 1, Fig. 2, Fig. 3, Fig. 4, Fig. 5, Fig. 6, Fig. 7).
case_images: (Scalp biopsy) fibroblasts, inflammatory cells, giant cells (thin black arrow), foamy histiocytes surrounding the Bacterial colonies Sulphur granules (thick arrow). The surrounding fibrous tissue, scalp superficial fascia (star). Contributed by Dr IM Abdullahi, MD.
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case_images: PMC11614786_01_gr7.jpg
case_images: fig0007
case_images: The left mastoid air cells and middle ear cavities are opacified (Fig. 1, Fig. 2, Fig. 3, Fig. 4, Fig. 5, Fig. 6, Fig. 7).
case_images: Histopathologic view; (A, B) (Brain tissue) The section shows Mixed inflammatory cells, giant cells (thin arrows), and sulfur granules (thick arrows) at the center of the inflammatory reaction, composed of basophilic radiating filaments. Intermediate and high magnification (20x, 40x). Contributed by Dr IM Abdullahi, MD.
case_images: gr8.jpg
case_images: PMC11614786_01_gr8.jpg
case_images: fig0008
case_images: A scalp biopsy revealed mixed inflammatory cells (lymphocytes, neutrophils, and eosinophils), giant cells, fibroblasts, and bacterial colonies (sulfur granules) with basophilic radiating filaments, consistent with invasive scalp actinomycosis with bone destruction and meningeal involvement (Fig. 8).