PMC8308935_01
initial presentation showing multiple scalp fistulas
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F1
There was a pus discharge from the tumefaction and the fistulas and an associated right purulent otorrhoea (Figure 1).
CT-scan osteolysis of the skull in the occipital region near to the primary lesion
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F2
A CT scan of the brain done 15 days later showed an enhancing lesion in the occipital lobe with brain oedema, signs of located meningitis and osteolysis of the skull in the occipital region near to the primary lesion (Figure 2).
MRI showing superior sagittal sinus thrombosis
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F3
MRI of brain showed superior sagittal sinus thrombosis (Figure 3).
the final outcome after the treatment
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F4
He had shown clinical, biochemical and radiological improvement there were no signs of reactivation of Nocardia infection (Figure 4).