Brain abscess after meningioma removal caused by Citrobacter freundii infection in an adult

Abstract

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Acute disseminated encephalomyelitis and viral encephalitis: An unusual and misleading imaging

“…Death from brain edema is common within 1 week of onset of encephalopathy. There can be favorable outcomes with early and aggressive treatment with combination of corticosteroids, immunoglobulins, cyclophosphamide, and therapeutic plasma exchange 10,15–19 . We kept the possibility of extensive encephalitis or ADEM, hence treated with both acyclovir as well as immunotherapy.…”

“…Hence it was not acute hemorrhagic leukoencephalitis (AHL). AHL, AHEM, and acute necrotizing hemorrhagic leukoencephalitis (ANHLE) of Weston Hurst are different variants of acute, rapidly progressive, and frequently fulminant inflammatory hemorrhagic demyelination of CNS white matter 8–14 . Death from brain edema is common within 1 week of onset of encephalopathy.…”

“…AHL, AHEM, and acute necrotizing hemorrhagic leukoencephalitis (ANHLE) of Weston Hurst are different variants of acute, rapidly progressive, and frequently fulminant inflammatory hemorrhagic demyelination of CNS white matter. [8][9][10][11][12][13][14] Death from brain edema is common within 1 week of onset of encephalopathy. There can be favorable outcomes with early and aggressive treatment with combination of corticosteroids, immunoglobulins, cyclophosphamide, and therapeutic plasma exchange.…”

“…There can be favorable outcomes with early and aggressive treatment with combination of corticosteroids, immunoglobulins, cyclophosphamide, and therapeutic plasma exchange. 10 , 15 , 16 , 17 , 18 , 19 We kept the possibility of extensive encephalitis or ADEM, hence treated with both acyclovir as well as immunotherapy. Our patient did not show improvement with these medications and finally died after 2 months.…”