Child Neurology: Rocky Mountain spotted fever encephalitis

Michael J. Bradshaw; Kathryn B. Lalor; NgocHanh Vu; Sumit Pruthi; Karen C. Bloch

doi:10.1212/WNL.0000000000003722

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Figure Trunk/extremity photographs and brain MRI with and without gadolinium contrast
(A) The skin was covered with petechial lesions. (B) Diffusion-weighted imaging (DWI) demonstrates starry sky pattern of restricted diffusion, which correlates with lesions on (B) apparent diffusion coefficient (ADC) sequences. (C) T2 fluid-attenuated inversion recovery reveals hyperintense lesions correlating with those seen on DWI/ADC. (D) No hemorrhages are observed on gradient echo. (E) There are no contrast-enhancing lesions on T1 images taken after contrast administration.

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Child Neurology: Rocky Mountain spotted fever encephalitis

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