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Butterfly lesion on MRI: Cryptococcus meningoencephalitis with unusual imaging in a patient with AIDS

Mary Henary1, Jennifer Oster2, Antonio Liu2

  • 1Ross School of Medicine Miramar FL USA.

Clinical Case Reports
|July 29, 2021
PubMed

Insights

Cryptococcus meningoencephalitis should be considered in immunocompromised patients with neurological symptoms and a butterfly pattern on MRI. This aids in diagnosing this serious fungal infection, particularly in individuals with AIDS.

Area of Science:

  • Medical Imaging
  • Infectious Diseases
  • Neurology

Background:

  • Neurological complaints are common in immunocompromised patients.
  • Differential diagnosis in these patients can be challenging.
  • Magnetic Resonance Imaging (MRI) is crucial for evaluating neurological symptoms.

Observation:

  • A specific MRI finding, the 'butterfly pattern,' is observed.
  • This pattern is associated with certain neurological conditions.

Findings:

  • The study proposes including Cryptococcus meningoencephalitis in the differential diagnosis.
  • This is specifically recommended when the butterfly pattern is seen on MRI in immunocompromised patients.
  • Patients with Acquired Immunodeficiency Syndrome (AIDS) are a key population of interest.

Implications:

  • Early inclusion of fungal meningoencephalitis in the differential diagnosis can lead to timely treatment.
  • This diagnostic approach may improve patient outcomes.
  • Highlights the importance of recognizing specific imaging patterns in immunocompromised individuals.
Keywords:
AIDSbutterfly lesioncryptococcusmeningoencephalitisneurology

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