PMC7262379_01
CT Scan with contrast with a 2.5 cm lesion at the right upper parietooccipital region.
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Finally, contrast CCT found two hypointense parietal and occipital areas with scalloped microvascular blood impurities, with an hyperintense 2.5 cm ring enhancement with poorly definable circumvent at the right upper parietooccipital region including a surrounding edema (Fig. 1).
CT Scan with contrast with a 19 x 18 x 20 mm lesion and minimal regression of the surrounding edema.
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Ceftriaxone was administered in dosage of 4 g daily to facilitate Ceftriaxone to pass hemato-encephalic barrier to reach BA. Contrast CCT after one week of treatment in our center showed slightly diminished lesions (19 x 18 x 20 mm) with an additional slight regression of the surrounding edema encouraging us to pursue the antibiotic regime to achieve HTX listing for this patient (Fig. 2).
CT Scan with contrast a complete regression of the lesion and the surrounding edema.
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Antibiotic therapy was further continued to realize total resolution of the BA to enable HTX in this patient with PET-CT proven LVAD system infection and finally after thirteen weeks of antibiotic treatment CCT in conclusion publicized complete resolution of the BA (Fig. 3).