PMC4904553_01
Pulmonary thromboembolism (arrow).
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Worsening of the subject's clinical condition prompted the performance of a computed tomography (CT) 5 days after admission, which confirmed the diagnosis of pneumonia and incidentally found an acute pulmonary bilateral thromboembolism (Figures 1(a) and 1(b)).
Subacute thyroiditis (*).
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Antibiotics were switched again to meropenem and linezolid and a neck-CT plus a neck ultrasonography were performed, with findings suggestive of a de Quervain subacute thyroiditis (Figure 2).
Pulmonary parenchymal damage.
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Another thoracic CT was performed 18 days after admission, showing multiple cavitary nodules and masses in both lungs (Figure 3), as well as hypodense areas in the right kidney and a diffuse hypodensity in the thyroid.
Left frontal hematoma.
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A cranial CT showed a left frontal hematoma with mass effect (Figure 4), prompting urgent neurosurgery.