Cryptic clues for an infection puzzle: from inside out

A 60-year-old male farmer with headache without fever for 2 months and with no other systemic disease presented to the emergency department with a 2-week history of non-productive cough as well as progressive hearing and vision loss. Chest radiography and CT scan revealed a left solitary tumour with pleural attachment (figure 1) without associated lymphadenopathy. At 3 days after admission, he lost consciousness and was administered emergency endotracheal …