case_images: PMC9062923_01
case_images: (a) Initial contrast-enhanced T1-weighted axial MRI scan demonstrating a heterogeneously enhancing mass in the left temporal lobe with surrounding vasogenic edema. (b) Immediate postoperative contrast enhanced T1-weighted axial MRI.
case_images: SNI-13-165-g001.jpg
case_images: PMC9062923_01_SNI-13-165-g001.jpg
case_images: F1
case_images: Brain magnetic resonance imaging (MRI) with contrast was completed revealing a heterogeneously enhancing mass involving the left temporal lobe with extensive vasogenic edema raising concern for glial neoplasm [Figures 1a and 1b].
case_images: Candida immunohistochemical test low power (a), (b) Candida IHC test high power, (c) Grocott's methenamine silver stain showing budding hyphae low power, and (d) GMS high power.
case_images: SNI-13-165-g002.jpg
case_images: PMC9062923_01_SNI-13-165-g002.jpg
case_images: F2
case_images: Candida but negative for neoplasia. Cultures obtained intraoperatively grew C. bantiana [Figures 2a-d].
case_images: (a) Six-week follow-up contrast-enhanced axial T1-weighted MRI showing disease progression with worsening edema and mass effect. (b) One-week postoperative redo craniotomy T1-weighted contrast-enhanced T1 axial MRI showing worsening edema with a new cystic collection with mass effect and developing communicating hydrocephalus.
case_images: SNI-13-165-g003.jpg
case_images: PMC9062923_01_SNI-13-165-g003.jpg
case_images: F3
case_images: Six weeks following initial operative management, the patient was readmitted with worsening confusion and repeat imaging demonstrated a recurrent abscess with significant edema and midline shift [Figures 3a and b].
case_images: Eight-month follow-up contrast-enhanced T1 axial MRI showing ex vacuo changes with resolution of the disease.
case_images: SNI-13-165-g004.jpg
case_images: PMC9062923_01_SNI-13-165-g004.jpg
case_images: F4
case_images: A 8-month follow- up showed complete resolution of the left temporal lesion [Figure 4].