Rare appearance of Candida tropicalis infection of the brain: Multiple micro-abscesses combined with diffuse hemorrhages

We report a case of cerebral Candida tropicalis infection in a middle-aged patient who suffered from multiple cerebral micro-abscesses associated with diffuse hemorrhage due to perforation of esophagus. MRI revealed multiple irregular, nodular, ring-like enhancing lesions with restricted diffusion and multiple micro-hemorrhages as well as some leptomeningeal enhancements. Blood, sputum and urine cultures showed Candida tropicalis. The lesions were resolved after the patient was given early and effective treatment of anti-fungal medicine. The imaging findings provided limited differential diagnosis, leading to early diagnosis and treatment for this patient.