• Online Features  This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on Web of Science (3)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Bacterial Infections  • Neurology  • Neurology, Other  • Radiologic Imaging  • Diagnosis  • Magnetic Resonance Imaging  • Alert me on articles by topic  Social Bookmarking   What's this?

Moshe Yoel Herskovitz, MD; Dorit Goldsher, MD; Renato Finkelstein, MD; Yaron Bar-Lavi, MD; Marius Constantinescu, MD; Gregory Telman, MD

Arch Neurol. 2009;66(10):1292.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A previously healthy 22-year-old man was referred to our institution by another hospital because of high fever, drowsiness, and multiple ring-enhancing lesions on brain computed tomography (CT). Medical history was unremarkable, except for a tongue piercing the patient had gotten 2 weeks earlier. On hospital admission, global aphasia and right hemiplegia were found. His temperature was 39°C, and his white blood cell count showed leukocytosis with a left shift. The patient was given empirical antibiotic treatment. Magnetic resonance imaging of the brain revealed 13 ring enhancement lesions with surrounding edema, with focal bleeding in some of them (Figure). Results of an extensive clinical and laboratory workup, including abdominal CT, transesophageal echocardiography, immunoelectrophoresis, complement levels, antinuclear antibody test, human immunodeficiency virus test, and sweat test for cystic fibrosis, were negative, . . . [Full Text of this Article]

COMMENT


AUTHOR INFORMATION


CiteULike    Connotea    Delicious    Digg    Facebook    Reddit    Technorati    Twitter     What's this?