case_images: PMC4153165_01
case_images: Two fine scars on the sole
case_images: Tanaffos-10-064-g001.jpg
case_images: PMC4153165_01_Tanaffos-10-064-g001.jpg
case_images: F0001
case_images: Other his physical examinations revealed no abnormality, except for fine scars of healed abrasions related to walking on a beach on his first day in Thailand (Figure 1).
case_images: Initial chest X-ray revealed right upper lobe alveolar infiltration.
case_images: Tanaffos-10-064-g002.jpg
case_images: PMC4153165_01_Tanaffos-10-064-g002.jpg
case_images: F0002
case_images: Chest X-ray (CXR) was obtained (Figure 2). Based on roentgenographic findings (Figures 2 and 3), ceftriaxone and azithromycin were initiated.
case_images: Computed tomography showed lobar infiltration in right upper lobe.
case_images: Tanaffos-10-064-g003.jpg
case_images: PMC4153165_01_Tanaffos-10-064-g003.jpg
case_images: F0003
case_images: Based on roentgenographic findings (Figures 2 and 3), ceftriaxone and azithromycin were initiated.
case_images: Portable chest X-ray on the second day revealed increased infiltration.
case_images: Tanaffos-10-064-g004.jpg
case_images: PMC4153165_01_Tanaffos-10-064-g004.jpg
case_images: F0004
case_images: New portable CXR and CT scan revealed more diffuse and extensive alveolar infiltrations (Figures 4 and 5).
case_images: Chest CT-scan on admission in intensive care unit revealed increased alveolar infiltration and bilateral pleural effusion.
case_images: Tanaffos-10-064-g005.jpg
case_images: PMC4153165_01_Tanaffos-10-064-g005.jpg
case_images: F0005
case_images: New portable CXR and CT scan revealed more diffuse and extensive alveolar infiltrations (Figures 4 and 5).
case_images: Chest computed tomography 2 months after admission showed ground glass opacities
case_images: Tanaffos-10-064-g006.jpg
case_images: PMC4153165_01_Tanaffos-10-064-g006.jpg
case_images: F0006
case_images: TMP-SMX continued for about 3 months. The control lung CT scan after one month demonstrated significant improvement (Figure 6).