PMC8223450_01
(A) Chest radiograph taken at another hospital showing infiltrative shadows in both lungs. (B) Chest computed tomography scan taken at another hospital showing scattered mottled nodular shadows in both lungs.
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His chest radiograph and computed tomography scan taken upon admission at the other hospital are shown in Figure 1A,B.
T2-weighted spinal magnetic resonance image (sagittal) taken at another hospital showing continuous (over 3 or vertebral segments) high-signal areas (arrows) from the cervical spinal cord to the thoracic spinal cord. High signal areas spread from the C7 to Th10 levels with a focus on the medulla.
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An emergency magnetic resonance imaging was performed, which revealed high-signal lesions in the center of the spinal cord from C1 to T12 (Fig. 2).
The clinical course of the case on admission. MMT, manual muscle testing; NPPV, noninvasive positive pressure ventilation.
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Steroid pulse therapy was administered again from day 16 to day 18 of admission (Fig. 3).