Unusual pattern of enhancement in cryptococcal meningitis: in vivo findings with postmortem correlation.

Important note: Information in this article was accurate in 1997. The state of the art may have changed since the publication date.

Unusual pattern of enhancement in cryptococcal meningitis: in vivo findings with postmortem correlation.

J Comput Assist Tomogr. 1996 Nov-Dec;20(6):1023-6. Unique Identifier : AIDSLINE MED/97087874
Arnder L; Castillo M; Heinz ER; Scatliff JH; Enterline D; Department of Radiology, University of North Carolina School of; Medicine, Chapel Hill, USA.

Abstract: Leptomeningeal enhancement on CT and MR imaging studies secondary to cryptococcal meningitis is an uncommon finding. In immunocompromised patients, this meningitis incites only a mild inflammatory reaction and abnormalities are often absent on imaging studies. We recently encountered two patients with cryptococcal meningitis in whom postcontrast MR imaging showed thick enhancing subarachnoid spaces. Both had cryptococcal meningitis at autopsy. In a different patient with cryptococcal meningitis, postmortem MR imaging and pathologic examinations showed that these areas of enhancement correspond to abundant mucoid material secreted by the yeasts.

Keywords: Adult AIDS-Related Opportunistic Infections/*DIAGNOSIS/PATHOLOGY Brain/PATHOLOGY/RADIOGRAPHY Case Report Diagnosis, Differential Fatal Outcome Female Human *HIV-1 Magnetic Resonance Imaging Male Meninges/*PATHOLOGY/*RADIOGRAPHY Meningitis, Cryptococcal/*DIAGNOSIS/PATHOLOGY Tomography, X-Ray Computed JOURNAL ARTICLE REVIEW REVIEW OF REPORTED CASES
970228
M9721869

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