Acute necrotizing toxoplasma encephalitis

Case contributed by Hani M. Al Salam
Diagnosis certain

Presentation

Decreased level of consciousness

Patient Data

Age: 50 years
Gender: Male
This study is a stack
Sagittal
T1
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Axial
T1
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Axial
T2
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Axial
FLAIR
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Coronal
FLAIR
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Axial
DWI
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Axial
DWI
This study is a stack
Axial
DWI
This study is a stack
Axial
ADC
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Axial
Gradient Echo
This study is a stack
Axial
T1 C+
This study is a stack
Sagittal
T1 C+
This study is a stack
Coronal
T1 C+
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Info

 MRI brain was performed and presumed diagnosis of high grade glioma was made.

This study is a stack
Axial
non-contrast
This study is a stack
Axial
non-contrast
This study is a stack
Axial C+
delayed
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Info

Presumed diagnosis of high grade glioma was made.

Case Discussion

The patient was referred from another hospital with a diagnosis of brain tumor. MRI brain was performed and presumed diagnosis of high grade glioma was made. The patient was scheduled for surgical resection, however, stereotactic biopsy revealed features consistent with necrotizing toxoplasma encephalitis.

Subsequently the patient was confirmed to have HIV/AIDS.

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