PMC4708074_01
Radiologic description of computed tomographic scan of the body (shortened). Liver is diffusely fatty without clear features of cirrhosis. Spleen is enlarged, with craniocaudal dimension of 14 cm. In hilus region there are small fingerlike liquid retentions that could be traits of abscesses or pseudocysts. Prominent lymphatic node is evident between ventricle and spleen, with dimension of 11 mm. Corpus and cauda of pancreas are atrophic; ducts are widened, maximum 7-8 mm at corpus region. Abundance of calcified lesions in caput is compatible with chronic pancreatitis. Region of abscesses in spleen is circled. Breathing artifact is evident in abdominal region.
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fig1
Computed tomographic scan revealed numerous degenerative cystic lesions in the spleen that most probably had formed as a result of prolonged bacterial infection (Fig. 1).
Pulsed-field gel electrophoresis of strains. Lanes 1, 5 and 10, control strain; lanes 2-4, 2 AmpC overproducer; lanes 6-9, ESBL strain. ESBL, extended-spectrum beta-lactamase.
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fig2
The ESBL isolates were found to be the same strain (one- to two-band differences in the banding patterns). The AmpC overproducers were also similar (a one-band difference in one isolate); however, they were different from the ESBL clone (Fig. 2).