Infectious Disorders
Pneumococcal meningitis
Jul. 12, 2025
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Case misdiagnosed as Tolosa-Hunt syndrome but found to have rhino-orbital-cerebral mycosis due to invasive aspergilosis (2)
Serial MRI studies in a 67-year-old man misdiagnosed with Tolosa-Hunt syndrome. (A-D) Axial and coronal post-contrast fat-suppressed T1-weighted orbital MR images conducted 1 month apart demonstrate significant progression of the contrast-enhancing lesion encircling the left optic nerve and left internal carotid artery within the left cavernous sinus (red and black asterisks). (Source: Karakeçili F, Barkay O, Sümer B, et al. Invasive aspergillosis with cavernous sinus thrombosis following high-dose corticosteroid therapy: a challenging case of rhino-orbital-cerebral mycosis. J Fungi [Basel] 2024;10[11]:788. Creative Commons Attribution 4.0 International [CC BY 4.0] license, creativecommons.org/licenses/by/4.0.)