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Washington University Experience | VASCULAR | Infarct - Venous | 4C3 Meningitis, bacterial (Case 4) H&E 5

4C3 Meningitis, bacterial (Case 4) H&E 5
Higher magnification of image 4C2 (H&E)---- In a rampant severe meningitis like this, it may be difficult to distinguish venous thrombi from simple vascular dilatation. The leptomeningeal vessels may have fibrin and PMNs in their walls, but they may represent a combination of intravascular margination, diapedesis or adjacent subarachnoid infiltrate.



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