Meningococcal Abscess Detected by MRI

MRI identifies rare intracranial complication following normal computed tomography

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11-year-old male developed meningococcal meningitis with atypical presentations.
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Initial CT scan normal; MRI detected cerebellar abscess.
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CSF showed elevated WBCs and confirmed Neisseria meningitidis.
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Improved with IV ceftriaxone; extubated by day
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Importance of MRI highlighted for early detection.
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Nonoperative management effective due to favorable clinical course.
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Limitations noted in serogroup data and long-term follow-up.
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Report emphasizes need for clinical suspicion with atypical symptoms.