Journals on Biomedical Intervention - BJSTR Journal

Abstract

A rare case of a cerebral abscess due to S. #Apiospermum in fifty-seven-year-old immunosuppressed female. The brain magnetic resonance imaging revealed a right frontal ill-defined #heterogenous lesion with surrounding multiple discrete low-signal foci lesions both on T1WI and on T2-WI with prominent susceptibility artifacts. We think that the foci represent the grains of the fungi itself, causing marked susceptibility artifacts, similar to previous reports in the literature of this specific infection, especially as has been demonstrated in #Madura foot cases. Fungal abscess in the right frontal lobe of a 57-year-old female with SLE who was #immunocompromised due to treatment with #Cyclosporine. Axial T2-weighted image (A) shows a well-defined heterogeneous lesion in the right frontal lobe with an irregular hypointense wall and intermediate intensity in the center of the lesion. The margins of the fungal wall are crenated. Axial T1-weighted image (B) shows a hypointense core with isointense intracavitary projections. #Postcontrast axial T1-weighted image (C) shows peripheral enhancement of the wall with no enhancement of intracavitary projections. Diffusion-weighted image (D) shows #hyperintensity in the projections with concomitant low ADC values (E).

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A Unique MRI Feature of Cerebral Abscess by S. Apiospermum by Einat Slonimsky in BJSTR