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A 42-year-old man presented with episodic headaches for the past 2 months, accompanied by palinopsia (visual perseveration). Medical history was significant for sarcoidosis, necessitating prednisolone use for the past 6 months. The patient had normal vitals, fundus and neurologic examination except for a weak right hand grip. MRI of the brain revealed multiple conglomerated brain abscesses in the left occipito-parietal region (figure 1A). Contemplating a tubercular aetiology, anti-tubercular therapy (ATT), levetiracetam and dexamethasone were started. However, after 3 days, the patient became drowsy and developed right-sided hemiparesis. …
Contributors LD helped in patient management, reviewed the literature and drafted the manuscript. AS managed the patient, reviewed the literature and edited the manuscript.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.
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