{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T08:16:47Z","timestamp":1773649007583,"version":"3.50.1"},"reference-count":19,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Pract Neurol"],"accepted":{"date-parts":[[2025,7,7]]},"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:p>\n                    Brain abscess is rarely caused by coinfection with different pathogens. A middle-aged immunocompetent woman developed right-sided focal motor seizures with Todd\u2019s palsy. Brain imaging identified a frontal ring-enhancing lesion for which she started antitubercular therapy and corticosteroids. However, on tapering the corticosteroids, she developed a right-sided hemiparesis with increased lesion size. Excision biopsy identified coinfection with\n                    <jats:italic>Mycobacterium tuberculosis<\/jats:italic>\n                    and\n                    <jats:italic>Aspergillus spp<\/jats:italic>\n                    . She recovered well with antitubercular and antifungal agents. Coinfections with multiple pathogens pose diagnostic challenges due to overlapping or non-specific clinical and radiological features. This case underscores the importance of tissue diagnosis to enable appropriate therapy.\n                  <\/jats:p>","DOI":"10.1136\/pn-2025-004634","type":"journal-article","created":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T02:15:11Z","timestamp":1754878511000},"page":"153-156","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Brain abscess with concurrent infection: tuberculosis and aspergillosis"],"prefix":"10.1136","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2476-975X","authenticated-orcid":false,"given":"Shivam","family":"Mirg","sequence":"first","affiliation":[{"name":"Neurology, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jasmine","family":"Parihar","sequence":"additional","affiliation":[{"name":"Neurology, All India Institute of Medical Sciences, New Delhi, India"},{"name":"Neurology, All India Institute of Medical Sciences, National Cancer Institute, Jhajjar, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepti","family":"Vibha","sequence":"additional","affiliation":[{"name":"Neurology, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ajay","family":"Garg","sequence":"additional","affiliation":[{"name":"Neuro Radiology, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gagandeep","family":"Singh","sequence":"additional","affiliation":[{"name":"Microbiology, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Urvashi","family":"Singh","sequence":"additional","affiliation":[{"name":"Microbiology, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M C","family":"Sharma","sequence":"additional","affiliation":[{"name":"Pathology, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manjari","family":"Tripathi","sequence":"additional","affiliation":[{"name":"Neurology, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,8,10]]},"reference":[{"key":"2026031600451062000_26.2.153.1","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1016\/j.cmi.2023.08.016","article-title":"European society of Clinical Microbiology and Infectious Diseases guidelines on diagnosis and treatment of brain abscess in children and adults","volume":"30","author":"Bodilsen","year":"2024","journal-title":"Clin Microbiol Infect"},{"key":"2026031600451062000_26.2.153.2","doi-asserted-by":"crossref","unstructured":"Chetty M , Rakhi B , Rachana K , et al . 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