A 28-YEAR-OLD MAN with long-standing asthma was admitted to the hospital in status asthmaticus. Necessary treatment modalities included high-dose methylprednisolone, sedation, and succinylcholine-induced paralysis for intubation. Pulmonary infiltrates were noted on a chest radiograph, and the patient could not be weaned from ventilation use. Decreasing consciousness was observed, and the results of a computed tomographic scan of the head showed ring-enhancing lesions in the right frontal and left parietal cerebral lobes. After rapid neurologic decline, the patient died.
Hutchins GM, Hanzlick R, Autopsy Committee of the College of American Pathologists. Case of the Month. Arch Intern Med. 1998;158(3):219-220. doi:10.1001/archinte.158.3.219