PMC5850759_01
Clinical and radiological findings in the reported case: (a) Cherry eyes; (b and c) electrocardiogram (present 2 mm ST depression in D2, D3, and a VF on day of hospitalization in Intensive Care Unit [POS 11]). (d) Radiography on hospitalization (POS 8) (normal chest). (e) Radiography (POS 11) (bilateral lung damage). (f) Radiography (POS 17) (four days after intubation present complete lung resolution). (g-i) Ultrasonography presenting enlarged liver (182 mm), enlarged spleen, acute renal inflammation, and abdominal-free liquid
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F1
At the end of April 2014, a previously healthy 20 yearold male living in a rural area (near Ferizaj, Kosovo) developed a febrile illness for 8 days before admission (the patient consent form has been obtained) Two days before hospitalization (day 6 postsymptom onset [PSO]), he developed diarrhea with dark stools, dark urine, conjunctival injection (cherry eyes), and severe malaise [Figure 1a]. Chest X-ray showed extensive bilateral infiltrates and enlarged heart shadow with rapid improvement by day 15 PSO [Figure 1d-f]. EKG (day 11 PSO) showed sinus rhythm 114 b/min, with 2 mm ST depression on lead II, III, and aVF suggesting acute coronaritis [Figure 1b and c]. Abdominal ultrasound presented enlarged liver (182 mm), acute renal inflammation, and abdominal-free liquid [Figure 1g-i].
PMC5850759_02