PMC9896851_01
Generalized rash presented by the patient (thoracoabdominal area)
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FIG1
However, the patient continued to present sustained high fever (38-39,5o Celsius) with new-onset painful cervical and axillary lymphadenopathies and a generalized, non-pruritic maculopapular rash (Figure 1), without the involvement of palmar and plantar surfaces of hands and feet.
Chest CT scan showing bilateral pleural effusion (red arrows), ground-glass opacities (green arrows), and pericardial effusion (yellow arrow).
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FIG2
Chest x-ray showed diffused bilateral opacities and CT-pulmonary angiography excluded the presence of pulmonary thromboembolism, revealing bilateral pleural effusion, ground-glass opacities dispersed by all pulmonary parenchyma and pericardial effusion (Figure 2).
Cranial MRI showing left temporal hyperdensity in T2 sequence (red arrow).
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FIG3
Head-CT- scan revealed unspecific alterations of density and cranial magnetic resonance imaging (MRI) confirmed the presence of water's diffusion restriction at cortical areas and revealed the presence of a left temporal hyperdense area at the T2 sequence that could be related to an inflammatory process (Figure 3).