Question 874
{"accessible":false,"alternatives":[{"id":4415,"text":"cerebral infarction"},{"id":4416,"text":"cerebral micro-abscesses "},{"id":4417,"text":"leptomeningeal enhancement"},{"id":4418,"text":"mycotic aneurysms"},{"id":4419,"text":"subarachnoid hemorrhage"}],"archived":false,"correctAlternativeId":4416,"explanation":"\u003cp\u003e\u003ca href=\"/articles/neurocandidiasis\"\u003eNeurocandidiasis\u003c/a\u003e results from disseminated hematogenous spread of\u0026nbsp;\u003cem\u003eCandida\u003c/em\u003e, most commonly\u0026nbsp;\u003cem\u003eCandida albicans\u003c/em\u003e,\u0026nbsp;in immunocompromised patients. Due to its\u0026nbsp;small size, \u003cem\u003eCandida\u0026nbsp;\u003c/em\u003ehas a predilection for small perforating arterioles. The most commonly seen manifestations are cerebral micro-abscesses and \u003ca href=\"/articles/leptomeningitis\"\u003eleptomeningitis\u003c/a\u003e. While the former demonstrates classic radiographical features of a \u003ca href=\"/articles/brain-abscess-1\"\u003ecerebral\u0026nbsp;abscess\u003c/a\u003e (\u0026lt; 3mm ring-enhancing lesion that has high diffusion signal on DWI), the latter is more subtle with often no appreciable\u0026nbsp;\u003ca href=\"/articles/leptomeningeal-enhancement\"\u003eleptomeningeal enhancement\u003c/a\u003e. Rarer features of neurocandidiasis include \u003ca href=\"/articles/brain-abscess-1\"\u003emacro-abscesses\u003c/a\u003e, \u003ca href=\"/articles/ischaemic-stroke\"\u003eischemic stroke\u003c/a\u003e\u0026nbsp;(most commonly in the basal ganglia), \u003ca href=\"/articles/intracerebral-haemorrhage\"\u003eintracerebral hemorrhage\u003c/a\u003e or \u003ca href=\"/articles/subarachnoid-haemorrhage\"\u003esubarachnoid hemorrhage\u003c/a\u003e with or without \u003ca href=\"/articles/mycotic-aneurysm\"\u003emycotic aneurysm\u003c/a\u003e identification, and \u003ca href=\"/articles/central-nervous-system-vasculitides\"\u003ecerebral vasculitis\u003c/a\u003e.\u003c/p\u003e","id":874,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/2593","nextQuestionPath":"/articles/cerebral-abscess-1/questions/695","relatedArticles":[{"id":2119,"title":"Subarachnoid hemorrhage","link":"/articles/subarachnoid-haemorrhage?lang=us"},{"id":13437,"title":"Ischemic stroke","link":"/articles/ischaemic-stroke?lang=us"},{"id":9702,"title":"Leptomeningeal enhancement","link":"/articles/leptomeningeal-enhancement?lang=us"},{"id":1706,"title":"Mycotic aneurysm","link":"/articles/mycotic-aneurysm?lang=us"},{"id":35564,"title":"CNS infectious diseases","link":"/articles/cns-infectious-diseases?lang=us"},{"id":55117,"title":"Neurocandidiasis","link":"/articles/neurocandidiasis?lang=us"}],"alsoUsedIn":[],"stem":"\u003cp\u003eWhat is the most common MR manifestation of neurocandidiasis?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/874"}],"attemptsPercentages":[{"alternativeId":"4417","percentage":22},{"alternativeId":"4419","percentage":4},{"alternativeId":"4415","percentage":7},{"alternativeId":"4416","percentage":51},{"alternativeId":"4418","percentage":16}],"promptToLogin":false,"questionManager":false,"articleId":"cerebral-abscess"}