PMC6280629_01
Chest x-ray reveled cavity at left side with pleural effusion.
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CRP 74 mg/L and ECG was showing normal sinus rhythm. Chest x-ray revealed a cavity at the left side with pleural effusion (Fig. 1).
CT chest axial view showing splenic abscess invading the stomach.
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His CT of chest and abdomen (Fig. 2, Fig. 3) revealed left upper lobe air space consolidation associated with secretion with in left upper main bronchus as well as cavity lesion inside, measuring 3 x 4 x 3 cm, with bilateral plural effusion, abdominal wise there was left inferior subpleural cavity like abscess measuring about 11 x 10 x 12 cm invading pleural and splenic communicating with posterior fundus of the stomach, with upper pole splenic infarction.
Endoscopy showing spleen invading the fundus of stomach.
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Upper GI endoscopy showed gross spleen invading fundus of the stomach as shown in (Fig. 4).
Surgical management.
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Necroinflammatory tissue with large number of fungal hyphae consistent with mucormycosis.
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Culture of specimens from lung and spleen showed Mucormycosis as shown in (Fig. 6).