PMC5333739_01
Fever chart during the admittance in the Infectious Diseases ward.
mjhid-9-1-e2017023f1.jpg
PMC5333739_01_mjhid-9-1-e2017023f1.jpg
f1-mjhid-9-1-e2017023
As long as he kept presenting fever (Figure 1) although therapy for malaria was considered over (piperachin/diidroartemisin 320/40 mg, 3 tablets qd, from August, 31st to September, 2nd) and hemoscopy resulted negative, as suggested by the radiologist, the next day the US was repeated, showing multiple splenic abscesses.
Abdomen magnetic resonance imaging (T1 and T2 weighted, respectively): Splenic focal areas of signal alteration, with prevalent peripheral subcapsular distribution.
mjhid-9-1-e2017023f2.jpg
PMC5333739_01_mjhid-9-1-e2017023f2.jpg
f2-mjhid-9-1-e2017023
The morphology of the formations, especially of the most voluminous, was a pyramidal wedge with the apex pointing towards the hilum, and the base of the splenic capsule, while profiles looked finely irregular (Figure 2 and 3).