case_images: PMC4904553_01
case_images: Pulmonary thromboembolism (arrow).
case_images: CRJ2016-2178218.001.jpg
case_images: PMC4904553_01_CRJ2016-2178218.001.jpg
case_images: fig1
case_images: Worsening of the subject's clinical condition prompted the performance of a computed tomography (CT) 5 days after admission, which confirmed the diagnosis of pneumonia and incidentally found an acute pulmonary bilateral thromboembolism (Figures 1(a) and 1(b)).
case_images: Subacute thyroiditis (*).
case_images: CRJ2016-2178218.002.jpg
case_images: PMC4904553_01_CRJ2016-2178218.002.jpg
case_images: fig2
case_images: Antibiotics were switched again to meropenem and linezolid and a neck-CT plus a neck ultrasonography were performed, with findings suggestive of a de Quervain subacute thyroiditis (Figure 2).
case_images: Pulmonary parenchymal damage.
case_images: CRJ2016-2178218.003.jpg
case_images: PMC4904553_01_CRJ2016-2178218.003.jpg
case_images: fig3
case_images: Another thoracic CT was performed 18 days after admission, showing multiple cavitary nodules and masses in both lungs (Figure 3), as well as hypodense areas in the right kidney and a diffuse hypodensity in the thyroid.
case_images: Left frontal hematoma.
case_images: CRJ2016-2178218.004.jpg
case_images: PMC4904553_01_CRJ2016-2178218.004.jpg
case_images: fig4
case_images: A cranial CT showed a left frontal hematoma with mass effect (Figure 4), prompting urgent neurosurgery.