PMC1090580_01
Chest radiograph showing right upper lobe consolidation (cardiac silhouette is normal).
1471-2334-5-29-1.jpg
PMC1090580_01_1471-2334-5-29-1.jpg
F1
Chest X-ray (Figure 1) done two months ago showed right upper lobe consolidation with normal cardiac silhouette.
Chest radiograph bilateral alveolar opacities and cardiomegaly.
1471-2334-5-29-2.jpg
PMC1090580_01_1471-2334-5-29-2.jpg
F2
A chest radiograph (Figure 2) performed at admission revealed cardiomegaly and bilateral alveolar opacities.
Photomicrograph demonstrates large areas of necrosis with interspersed myocytes showing degeneration and regeneration [Hematoxylin & Eosin, original magnification x 33]. Inset shows photomicrograph demonstrating acid-fast bacilli [Ziehl-Neelson stain, original magnification x 33].
1471-2334-5-29-3.jpg
PMC1090580_01_1471-2334-5-29-3.jpg
F3
Her husband did not give consent for an autopsy; however he agreed for a post-mortem cardiac biopsy, which revealed multi-focal areas of caseous myocardial necrosis, Ziehl-Neelson stain for acid-fast bacilli was positive (Figure 3).