PMC9160653_01
A timeline with relevant data from the patient episode of care. WBC, white blood cell; CRP, C-reactive protein; LDH, lactate dehydrogenase; CK, creatine kinase; ALT, alanine aminotransferase; CSF, Cerebral spinal fluid.
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A timeline with relevant data from the patient episode of care is shown in Figure 1.
Imaging tests of the patient. (A) Imaging tests of the brain. (a) Brain diffusion-weighted MRI on 6 March 2020 revealed multiple intracranial abnormal signals with the slightly enlarged posterior horn of the lateral ventricle (white arrow). (b) CT scan of the brain on 16 April 2020 showed hydrocephalus and interstitial edema of white matter. (c) T2-Flair MRI images of the brain on 22 April 2020 showed multiple patchy shadows in the splenium of the corpus callosum, frontal lobe, and left basal ganglia, suggesting infectious changes. Hydrocephalus and interstitial edema were also observed. (B) Imaging tests of the lung. (a) The initial lung X-ray image of the patient on 12 March 2020 showed infection in the bilateral lungs. (b) CT scan of the lung on 16 April 2020 revealed patchy shadows on bilateral lungs, suggesting infection.
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In addition, the chest X-ray image showed infection in bilateral lungs (Figure 2B-a) and brain diffusion-weighted MRI showed multiple intracranial abnormal signals with the slightly enlarged posterior horn of the lateral ventricle (Figure 2A-a). CT scans of the brain (Figure 2A-b) and the chest (Figure 2B-b) were performed to show the hydrocephalus and pulmonary infection. To better investigate the cause of the disease, further laboratory (Tables 1, 2) and imaging (Figure 2A-c) tests were performed.