PMC6304844_01
Abdominal computed tomography at admission. (a) Enlarged liver and spleen are shown. (b) A geographical low attenuation area is observed on the dorsal side of the spleen, which suggests splenic infarction. These findings were improved after ganciclovir treatment. (c) Enlarged liver and splenomegaly were improved. (d) The geographic low attenuation area in the spleen was decreased.
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fig1
Because the patient continued to have high fever, we performed an abdominal computed tomography (CT) scan, which revealed splenomegaly and a geographic low attenuation area in the dorsal and upper external side of the spleen (Figures 1(a) and 1(b)); this finding was consistent with splenic infarction. The splenic infarction area was decreased without atrophy, and splenomegaly was improved (Figures 1(c) and 1(d)).
Clinical course of this case. CTRX: ceftriaxone; GCV: ganciclovir; CRP: C-reactive protein; CMV: cytomegalovirus.
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fig2
The day after beginning the treatment with ganciclovir, her fever, joint pain, and erythematous papule improved (Figure 2).