case_images: PMC6399751_01
case_images: Images from computed tomography scan of perineal region demonstrating foci of air along with an ill-defined region of peripheral hyperattenuation with central hypoattenuation consistent with focal infection/abscess in the area of noted perineal wound between scrotum and anus: (a) transverse plane, (b) coronal plane, and (c) sagittal plane.
case_images: 10.1177_2050313X19834425-fig1.jpg
case_images: PMC6399751_01_10.1177_2050313X19834425-fig1.jpg
case_images: fig1-2050313X19834425
case_images: It demonstrated foci of air in the perineum and inferior scrotum consistent with FG (Figure 1).
case_images: Patient's bone marrow biopsy demonstrating hypercellularity greater than expected for age. Marked myeloid hyperplasia with left shift accounting for 85% of bone marrow cellularity. Maturing myeloid elements nearly absent. Maturing erythroid elements moderately to markedly decreased. Megakaryocytes markedly decreased. No significant lymphocytosis or plasmacytosis.
case_images: 10.1177_2050313X19834425-fig2.jpg
case_images: PMC6399751_01_10.1177_2050313X19834425-fig2.jpg
case_images: fig2-2050313X19834425
case_images: As his peripheral smear was without myeloblasts, a bone marrow biopsy was performed (Figure 2).