Andrade Ana Ines, Donato Maren, Previgliano Carlos, Hardjasudarma Mardjohan
Department of Radiology, CIMED; La Plata, Buenos Aires, Argentina -
Department of Radiology, CIMED; La Plata, Buenos Aires, Argentina.
Neuroradiol J. 2014 Jun;27(3):334-8. doi: 10.15274/NRJ-2014-10038. Epub 2014 Jun 17.
We describe the case of a 62-year-old man, who presented with a new onset of focal seizures of his right leg. There were no other clinical symptoms, and laboratory results were normal. Brain magnetic resonance imaging revealed multiple lesions, two supratentorial lesions were ring-enhancing. The brain biopsy tissue showed Histoplasma capsulatum abscesses. He improved on treatment with Amphotericin B. This case is reported since cerebral ring-enhancing lesions are rarely associated with histoplasmosis, which is also rare in an immunocompetent individual. We review the literature and discuss the radiologic and pathologic findings of this case compared with previous reports.
我们描述了一名62岁男性的病例，他出现了右腿新发的局灶性癫痫发作。没有其他临床症状，实验室检查结果正常。脑部磁共振成像显示有多个病灶，两个幕上病灶呈环形强化。脑活检组织显示荚膜组织胞浆菌脓肿。他接受两性霉素B治疗后病情好转。报道该病例是因为脑部环形强化病灶很少与组织胞浆菌病相关，而在免疫功能正常的个体中这种病也很罕见。我们回顾了文献，并将该病例的影像学和病理学发现与之前的报道进行了讨论。
