case_images: PMC7683143_01
case_images: Blood smear (magnification 100x) showing numerous schistocytes and reduced platelets.
case_images: CRIRH2020-8812550.001.jpg
case_images: PMC7683143_01_CRIRH2020-8812550.001.jpg
case_images: fig1
case_images: The blood smear showed frequent schistocytes and reduced platelets (Figure 1).
case_images: ECG having ST segment elevations in II, III, AVF, and V3 through V6.
case_images: CRIRH2020-8812550.002.jpg
case_images: PMC7683143_01_CRIRH2020-8812550.002.jpg
case_images: fig2
case_images: A 12-lead ECG had ST elevations in leads II, III, AVF, and V3 through V6 (Figure 2), transthoracic echocardiography showed inferobasal hypokinesis, and serum troponin levels peaked at 37.8 (normal < 0.10), indicating acute myocardial infarction.
case_images: CT angiogram of the abdomen (arterial phase) showing left superior renal infarction and splenic infarction.
case_images: CRIRH2020-8812550.003.jpg
case_images: PMC7683143_01_CRIRH2020-8812550.003.jpg
case_images: fig3
case_images: Contrast CT imaging of the chest, abdomen, and pelvis and MRI brain showed infarctions of the left kidney, spleen, and brain (Figures 3 and 4).
case_images: Contrast MRI brain (T2 FLAIR) showing right frontal subacute and left occipital chronic infarctions.
case_images: CRIRH2020-8812550.004.jpg
case_images: PMC7683143_01_CRIRH2020-8812550.004.jpg
case_images: fig4
case_images: Contrast CT imaging of the chest, abdomen, and pelvis and MRI brain showed infarctions of the left kidney, spleen, and brain (Figures 3 and 4).
case_images: Cardiac catheterization showing occlusion of the left circumflex obtuse marginal branch (OM2).
case_images: CRIRH2020-8812550.005.jpg
case_images: PMC7683143_01_CRIRH2020-8812550.005.jpg
case_images: fig5
case_images: Thrombotic occlusion of the second branch of the left circumflex coronary artery was found, with no underlying coronary disease (Figure 5). Thrombectomy and balloon angioplasty restored normal blood flow.