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Volume 349:1004-1006 September 4, 2003 Number 10
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Case 16-2003 — Brain Abscess

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by Friedlander, R. M.
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To the Editor: In Case 16-2003, Friedlander et al. (May 22 issue)1 provide a comprehensive discussion of a patient who has a ring-enhancing, unilateral brain mass. What is disappointing is the absence of any mention of mycobacterium. Though relatively uncommon in the United States, tuberculomas are almost always manifested clinically as progressive paresis, with computed tomographic images that reveal a single ring-enhancing lesion.2,3 A peripheral-lung granuloma may also be present. To their credit, the authors make use of a diffusion magnetic resonance imaging (MRI) study that assists in the differential diagnosis.4,5 Because international travel is so common, it would be . . . [Full Text of this Article]



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