title: Soap bubble appearance in brain magnetic resonance imaging: cryptococcal meningoencephalitis.
abstract: Although cryptococcal infections begin in the lungs, meningoencephalitis is the most frequently encountered manifestation of cryptococcosis among individuals with advanced immunosuppression. As the infection progresses along the Virchow-Robin spaces, these structures may become dilated with mucoid material produced by the capsule of the organism. We report a case of a 24-year-old man with cryptococcal meningoencephalitis in which magnetic resonance imaging showed clusters of gelatinous pseudocysts in the periventricular white matter, basal ganglia, mammillary bodies, midbrain peduncles and nucleus dentatus with a soap bubble appearance.
authors.affiliation: Faculdade de Medicina Integral Diferencial, TeresinaPI.
authors.forename: Marcelo Adriano da Cunha e Silva
authors.initials: MA
authors.lastname: Vieira
authors.forename: Carlos Henrique Nery
authors.initials: CH
authors.lastname: Costa
authors.forename: José Carlos Castelo Branco
authors.initials: JC
authors.lastname: Ribeiro
authors.forename: Lucídio Portella
authors.initials: LP
authors.lastname: Nunes-Filho
authors.forename: Marcos Glebson Gomes
authors.initials: MG
authors.lastname: Rabelo
authors.forename: Walfrido Salmito de
authors.initials: WS
authors.lastname: Almeida-Neto
mesh_terms: D016477:Artifacts; D003453:Cryptococcosis / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008590:Meningoencephalitis / Q000175:diagnosis* / Q000382:microbiology; D055815:Young Adult