PMC8172311_01
Brain MRI: T1, after gadolinium administration; arrows: leptomeningeal enhancement.
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fig1
Brain magnetic resonance imaging (MRI) showed signs of extensive meningitis (Figure 1), with a parenchymal image of small dimensions, with poorly defined characteristics on the right occipital region.
Brain MRI: T1, after gadolinium administration; arrows: multiple cryptococcoma.
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fig2
B and flucytosine were restarted, assuming possible recurrent cryptococcal infection, and she was treated empirically with meropenem and vancomycin for possible nosocomial meningitis. Brain MRI showed worsening of the meningitis signs and several new intraparenchymal cryptococcoma, with no encephalic herniation (Figure 2).