case_images: PMC11787947_01
case_images: A transverse MRI of the head study section revealing multiple bilateral ring-enhancing lesions . MRI: magnetic resonance imaging
case_images: cureus-0017-00000076841-i01.jpg
case_images: PMC11787947_01_cureus-0017-00000076841-i01.jpg
case_images: FIG1
case_images: An MRI of the head study undertaken shortly after admission to the ICU revealed multiple intracranial lesions demonstrating peripheral ring enhancement and central diffusion restriction (see Figure 1).
case_images: Multiple circular brain lesions. The widely disseminated circular lesions are highlighted with the blue arrows
case_images: cureus-0017-00000076841-i02.jpg
case_images: PMC11787947_01_cureus-0017-00000076841-i02.jpg
case_images: FIG2
case_images: Interval MRI of the brain study showing significant improvement in the burden of the ring-enhancing brain lesions. MRI: magnetic resonance imaging
case_images: cureus-0017-00000076841-i03.jpg
case_images: PMC11787947_01_cureus-0017-00000076841-i03.jpg
case_images: FIG3
case_images: MRI of the head study done on day 43 of hospital admission noted an improvement as there was an interval decrease in sizes and numbers of known bilateral ring-enhancing lesions on the brain (see Figure 3). MRI of the spine assessment revealed a complete resolution of cervical spinal cord-enhancing lesions.
case_images: Serial C-reactive protein check. Reference range: <10 mg/L
case_images: cureus-0017-00000076841-i04.jpg
case_images: PMC11787947_01_cureus-0017-00000076841-i04.jpg
case_images: FIG4
case_images: Serial procalcitonin studies. Reference range: <0.5 ng/ml
case_images: cureus-0017-00000076841-i05.jpg
case_images: PMC11787947_01_cureus-0017-00000076841-i05.jpg
case_images: FIG5
case_images: Serial white blood cell count studies. Reference range: 4-11x109/l
case_images: cureus-0017-00000076841-i06.jpg
case_images: PMC11787947_01_cureus-0017-00000076841-i06.jpg
case_images: FIG6