PMC8014250_01
Spiral CT scan of chest without contrast.
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His PCR test for COVID-19 was positive, and there was pleural effusion plus positive findings in the lower left lobe of the lung on a computed tomography scan of his chest (Figure 1).
Chest radiography AP view.
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In addition, there was a splenomegaly (Figure 2).
Bone marrow aspiration smear: a histiocyte with engulfed red blood cell and a Leishman Donovan like body (Giemsa x400).
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Subsequently, Leishman Donovan bodies and hemophagocytic cells were seen in bone marrow aspiration (Figure 3), and treatment was started with amphotericin, which led to clinical improvement.