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KMID : 0191120080230061102
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Journal of Korean Medical Science
2008 Volume.23 No. 6 p.1102 ~ p.1104
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Serial Magnetic Resonance Imagings of Multiple Brain Abscesses in a Patient with Pneumococcal Meningoencephalitis
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Hong Ji-Man
Huh Kyoon
Park Hee-Young
Choi Jun-Young
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Abstract
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We report a 43-yr-old man manifesting bacterial meningoencephalitis and multiple abscesses by Streptococcus pneumoniae. Serial magnetic resonance (MR) imagings and MR spectroscopy showed the evolution of multiple brain abscesses over 4 weeks: the enhanced rings became thicker and the dimension of whole lesions larger despite shrinkage of the ring-enhanced regions. These findings may be evidence of active inflammation working to sequestrate the lesion and protect the surrounding normal brain parenchyma from additional damage, even in the final stage of the brain abscess.
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KEYWORD
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Streptococcus pneumoniae, Multiple Abscesses, Magnetic Resonance Imaging
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