PMC9483830_01
Ring forms and Maltese cross inclusions in erythrocytes.
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After examining the specimen, the infection specialist (HC) determined that the inclusion bodies were the ring-form intraerythrocytic parasites (Figure 1) and made a diagnosis of babesiosis.
CT scan showing massive splenomegaly.
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In early November 2019, the patient sought oncology consult where a computerized axial tomography (CT) scan revealed massive splenomegaly with dimensions of 22 cm x 10.5 cm x 20 cm, (normal spleen size: 12 cm x 5 cm x 7 cm; Figure 2), mediastinal lymphadenopathy, but no significant atherosclerotic changes or cardiomegaly were observed.