Case 127. Microsporidiosis (22 y-o M)

       
  Biopsied multifocal white matter lesions, up to 1 cm in size, seen in an HIV-negative patient who often eats raw cow liver  
       

 

  A necrotic lesion with dense infiltration of lymphoid cells and macrophages is presented. In the cytoplasm of glial cells, basophilic granules are observed infrequently (HE).