PMC4802818_01
Abdomen showing hepatosplenomegaly.
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Abdominal examination revealed a firm non-nodular liver 5 cm below the right costal margin and an enlarged spleen of 10 cm below the left costal margin (Fig. 1).
Bone marrow trephine: epithelioid granuloma with Langhans giant cells.
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At that point, his bone marrow trephine biopsy pathology was reported to show the presence of epithelioid cell granulomata with Langhans giant cells and focal necrosis consistent with tuberculosis (Fig. 2).