I just posted this case. It's interesting how the MRI from my patient looks suspiciously like the MRI I found in one of the online infectious disease journals on a patient with TB:
TB-------------> My patient --->
Well, the patient received a biopsy of the brain lesion (I had offered bronch first but the primary ID team insisted on the neurosurgical approach). The result? Adenocarcinoma.
So my DDX wasn't bad... if I can quote from my previous comment on this post: "Metastatic carcinoma with meningeal carcinomatosis could also look like this and produce a similar LP finding. "
So my DDX wasn't bad... if I can quote from my previous comment on this post: "Metastatic carcinoma with meningeal carcinomatosis could also look like this and produce a similar LP finding. "
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