Arenaltransplantrecipientinher60spresentedwithahistoryofchronicheadachesandprogressiveencephalopathy.Serialcerebrospinalfluidexaminationswereconsistentwithchroniclymphocyticmeningitis,butnodefinitivecausewasidentified.Imagingstudiesshowedthedevelopmentofanenhancingsuprasellarmasslesionandhydrocephalus.Symptomsprogresseddespiteempiricantimicrobialtherapy,andthepatientdiedafteranacutelarge-volumesubarachnoidhemorrhage.A

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