PMC7472542_01
PMC7472542_02
(a) Right anterior thalamic infarct (arrow). (b) Left pontine and cerebellar infarcts (arrow), with leptomeningeal enhancement. (c) Possible microabscesses in left cerebellopontine angle (CPA; arrow). (d) New 13x7 mm consolidative abscess in left CPA cistern (arrow).
acmi-1-056-g001.jpg
PMC7472542_05_acmi-1-056-g001.jpg
F1
After completing approximately 3 weeks of antibiotics, he again underwent a head MRI scan, which showed no meningeal abnormality, but new subtle region of infarction in the left cerebellar peduncle, and a new consolidative abscess in the left cerebellopontine angle cistern, measuring 13x7 mm (Fig. 1d).
PMC7472542_03
PMC7472542_04
(a) Right anterior thalamic infarct (arrow). (b) Left pontine and cerebellar infarcts (arrow), with leptomeningeal enhancement. (c) Possible microabscesses in left cerebellopontine angle (CPA; arrow). (d) New 13x7 mm consolidative abscess in left CPA cistern (arrow).
acmi-1-056-g001.jpg
PMC7472542_05_acmi-1-056-g001.jpg
F1
After completing approximately 3 weeks of antibiotics, he again underwent a head MRI scan, which showed no meningeal abnormality, but new subtle region of infarction in the left cerebellar peduncle, and a new consolidative abscess in the left cerebellopontine angle cistern, measuring 13x7 mm (Fig. 1d).
Wright-Giemsa (upper panels) and Gram stain (lower panels) microscopy of CSF collected on DOC 1.
acmi-1-056-g002.jpg
PMC7472542_04_acmi-1-056-g002.jpg
F2
Because bacterial organisms were seen by Wright-Giemsa stains and Gram stains of the CSF (see Fig. 2), but no organisms grew in culture, we submitted the specimen to the University of Washington Molecular Microbiology Laboratory for universal bacterial PCR/sequencing.
PMC7472542_05
(a) Right anterior thalamic infarct (arrow). (b) Left pontine and cerebellar infarcts (arrow), with leptomeningeal enhancement. (c) Possible microabscesses in left cerebellopontine angle (CPA; arrow). (d) New 13x7 mm consolidative abscess in left CPA cistern (arrow).
acmi-1-056-g001.jpg
PMC7472542_05_acmi-1-056-g001.jpg
F1
After completing approximately 3 weeks of antibiotics, he again underwent a head MRI scan, which showed no meningeal abnormality, but new subtle region of infarction in the left cerebellar peduncle, and a new consolidative abscess in the left cerebellopontine angle cistern, measuring 13x7 mm (Fig. 1d).
PMC7472542_06