PMC10389042_01
Trends of ANC during initial (A) and current (B) hospitalization with increasing doses of GCSF.
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F1
ANC values (Figure 1). Additional screening revealed hypogammaglobulinemia with an IgG level of 53 mg/dl at 5 months of age (normal range: 200-1,200 mg/dl).
(A) MRI brain on presentation, demonstrating epidural abscess and reactive cerebritis. (B) MRI brain after endoscopic drainage procedure, showing persistence of epidural abscess and cerebritis. (C) MRI brain after craniotomy and debridement, showing persistence of epidural abscess and new adjacent hematoma. (D) MRI brain after ~6 weeks of broad-spectrum antibiotic therapy, showing no abscess or residual parenchymal changes.
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F2
Magnetic resonance imaging (MRI) confirmed an epidural abscess with adjacent cerebritis, which was thought to be reactive in nature (Figure 2).