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Case Reports
. 2021 Aug;11(4):e589-e591.
doi: 10.1212/CPJ.0000000000000933.

Neuromelioidosis Presenting as a Stroke-like Syndrome

Shumyla Jabeen  1 , Jitender Saini  1 , Tanaya Mishra  1 , Pooja Mailankody  1 , Lingaraju Ts  1 , Nagarathna Chandrashekar  1
Affiliations
Case Reports

Neuromelioidosis Presenting as a Stroke-like Syndrome

Shumyla Jabeen et al. Neurol Clin Pract. 2021 Aug.
No abstract available

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Figures

Figure 1
Figure 1. Imaging Findings
Axial noncontrast axial CT image (A) shows hypodensity in the right frontoparietal region misdiagnosed as a MCA territory infarct. Coronal T2-weighted images (B and C) show tubular and rounded T2 hypointense lesions with extensive surrounding edema in the right frontal white matter including the perirolandic region extending into the corpus callosum medially and corona radiata inferiorly. On diffusion-weighted trace image (D) and corresponding ADC map (E), linear and rounded foci of diffusion restriction are seen. Postcontrast coronal T1-weighted images (F and G) show coalescent rounded and tubular peripherally enhancing lesions extending inferiorly along the white matter tract (arrow in F) and corpus callosum (arrow in G). Multiple enhancing tubular and rounded conglomerated lesions with surrounding edema are seen on axial postcontrast images (H and I).
Figure 2
Figure 2. Culture and Gram Stain
Colonies of Burkholderia pseudomallei on (A) MacConkey agar (B), blood agar (C), chocolate agar, and (D) Gram stain smear of colonies showing gram-negative rods.
See this image and copyright information in PMC

References

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