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Volume 9, Number 4—April 2003
Dispatch

Human Neurobrucellosis with Intracerebral Granuloma Caused by a Marine Mammal Brucella spp.

Annette H. Sohn*Comments to Author , Will S. Probert†, Carol A. Glaser*†, Nalin Gupta*, Andrew W. Bollen*, Jane D. Wong†, Elizabeth M. Grace*, and William C. McDonald*
Author affiliations: *University of California, San Francisco, San Francisco, California, USA; †California Department of Health Services, Richmond, California, USA

Main Article

Figure 2

Axial MRI (magnetic resonance imaging) from patient 2 obtained when first seen in Peru (April 21, 2001), before surgical biopsy in the United States (September 21, 2001), and 7 months after start of treatment (June 7, 2002). The top images are postgadolinium-enhanced, T1-weighted images, which demonstrate resolution of one of the irregular areas of enhancement over time. The bottom images are T2-weighted images (image from April 21 is from a fluid attenuated inversion recovery [FLAIR] sequence),

Figure 2. Axial MRI (magnetic resonance imaging) from patient 2 obtained when first seen in Peru (April 21, 2001), before surgical biopsy in the United States (September 21, 2001), and 7 months after start of treatment (June 7, 2002). The top images are postgadolinium-enhanced, T1-weighted images, which demonstrate resolution of one of the irregular areas of enhancement over time. The bottom images are T2-weighted images (image from April 21 is from a fluid attenuated inversion recovery [FLAIR] sequence), which demonstrate the extensive brain edema associated with these lesions. The right bottom image shows resolution of the brain edema but persistent brain atrophy.

Main Article

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