PMC8329521_01
Hemoglobin trend during hospitalization with intravenous artesunate therapy followed by artemether-lumefantrine; with hemoglobin level < 7 g/dL at three instances during hospital admission, requiring packed red blood cell transfusions (green arrows).
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Figure 1 shows the trend of hemoglobin levels during the hospitalization along with blood transfusions throughout the admission.
Ultrasound of the abdomen showing ill-defined hypoechogenic lesions in pancreatic head (A) and spleen (B).
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Further workup to investigate possible fever of unknown origin included ultrasound of the abdomen to evaluate for any intrabdominal collections and it showed an ill-defined hypoechogenicity in the pancreatic head (Fig. 2) and multiple ill-defined hypoechoic lesions in the spleen and recommended for further evaluation by magnetic resonance imaging (MRI).