case_images: PMC10593545_01
case_images: Livedo racemosa is present on the patient's legs.
case_images: CRIID2023-9917898.001.jpg
case_images: PMC10593545_01_CRIID2023-9917898.001.jpg
case_images: fig1
case_images: On examination, he had livedo racemosa on both lower extremities (Figure 1).
case_images: The patient had distal necrosis of the toes.
case_images: CRIID2023-9917898.002.jpg
case_images: PMC10593545_01_CRIID2023-9917898.002.jpg
case_images: fig2
case_images: He also had gangrene on his toes (Figure 2).
case_images: The red lines are pointing towards bilateral pleural effusions. The blue lines are pointing towards hypointense densities, which indicate bilateral atelectasis.
case_images: CRIID2023-9917898.003.jpg
case_images: PMC10593545_01_CRIID2023-9917898.003.jpg
case_images: fig3
case_images: The computerized tomography (CT) chest, abdomen, and pelvis showed severe right lower lobe and moderate left lower lobe dependent atelectasis with possible consolidation (Figure 3), subcapsular splenic hematoma, and multiple splenic infarcts (Figures 4 and 5).
case_images: A subcapsular hematoma is present on the anterolateral aspects of the spleen.
case_images: CRIID2023-9917898.004.jpg
case_images: PMC10593545_01_CRIID2023-9917898.004.jpg
case_images: fig4
case_images: The computerized tomography (CT) chest, abdomen, and pelvis showed severe right lower lobe and moderate left lower lobe dependent atelectasis with possible consolidation (Figure 3), subcapsular splenic hematoma, and multiple splenic infarcts (Figures 4 and 5).
case_images: The hypointense lesions showing multiple splenic infarcts.
case_images: CRIID2023-9917898.005.jpg
case_images: PMC10593545_01_CRIID2023-9917898.005.jpg
case_images: fig5
case_images: The computerized tomography (CT) chest, abdomen, and pelvis showed severe right lower lobe and moderate left lower lobe dependent atelectasis with possible consolidation (Figure 3), subcapsular splenic hematoma, and multiple splenic infarcts (Figures 4 and 5).
case_images: Right extraperitoneal hematoma.
case_images: CRIID2023-9917898.006.jpg
case_images: PMC10593545_01_CRIID2023-9917898.006.jpg
case_images: fig6
case_images: There was also hemorrhage in the right extraperitoneal space (Figure 6) extending into the right inferior retroperitoneal space (4.3 x 7.8 x 12.9 cm) (Figure 7).
case_images: Right retroperitoneal hematoma.
case_images: CRIID2023-9917898.007.jpg
case_images: PMC10593545_01_CRIID2023-9917898.007.jpg
case_images: fig7
case_images: There was also hemorrhage in the right extraperitoneal space (Figure 6) extending into the right inferior retroperitoneal space (4.3 x 7.8 x 12.9 cm) (Figure 7).
case_images: Capnocytophaga canimorsus is a Gram-negative rod, seen in the polymorphonuclear leukocytes on this image.
case_images: CRIID2023-9917898.008.jpg
case_images: PMC10593545_01_CRIID2023-9917898.008.jpg
case_images: fig8
case_images: Furthermore, peripheral blood smear showed intracellular rod-shaped bacteria (Figure 8).