Ring lesions in the brain: a harmless commensal?
- 1Department of Respiratory Medicine, Watford General Hospital, Watford, UK
- 2Department of Neurology, St Thomas’ Hospital, London, UK
- Correspondence to Dr Justin Garner, ,
A 72-year-old gentleman, type 2 diabetic, was admitted in the hospital with a head injury which was a result of a fall. Several weeks before, he had been investigated and treated for a community-acquired pneumonia, left pleural effusion and confusion. CT brain showed right frontal encephalomalacia.
On re-examination, drowsiness, extensor plantar responses and signs of a left pleural effusion were recorded. He was afebrile.
His white cell count was 12.3 (4.0–11.0×109), neutrophils 10.8 (1.5–7.0×109), C reactive protein 5 (0–4) mg/l, urea 5.0 …