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A 68-year-old woman with a left internal carotid artery aneurysm coiled 3 months previously presented with hemoptysis, fever, aphasia, and right hemiparesis. Imaging demonstrated left hemispheric nodular meningoencephalitis (figure 1A) and mycotic aneurysms (figure 2). Serum white blood cell (WBC) count was 13,000/μL. CSF showed 11 WBCs (76% lymphocytes), 109 red blood …

Focal meningoencephalitis and mycotic aneurysms from suspected aneurysm coil seeding