case_images: PMC10858631_01
case_images: Coronal body CT scan. Coronal body computed tomography (CT) scan showing pericardial effusion (red arrow) and hepatic stasis (blue arrow)
case_images: cureus-0016-00000052090-i01.jpg
case_images: PMC10858631_01_cureus-0016-00000052090-i01.jpg
case_images: FIG1
case_images: ANA, dsDNA, MPO, ECA, C3, C4, and C5) were negative. A body CT scan showed multiple supraclavicular, mediastinal, and hilar adenopathies with a necrotic center, a moderate pericardial effusion, and hepatic stasis, indicating right heart overload (Figure 1).
case_images: Supraclavicular lymph node histology. Low-power view showing necrotizing lymphadenitis change centered in the subcapsular region (inner blue area)
case_images: cureus-0016-00000052090-i02.jpg
case_images: PMC10858631_01_cureus-0016-00000052090-i02.jpg
case_images: FIG2
case_images: Amplified supraclavicular lymph node histology. High-power view showing the necrosis with eosinophils (inner blue area)
case_images: cureus-0016-00000052090-i03.jpg
case_images: PMC10858631_01_cureus-0016-00000052090-i03.jpg
case_images: FIG3
case_images: Chest CT scan. Chest CT showing a cavitation (red arrow) and adjacent consolidation (blue arrow) in the left upper lobe
case_images: cureus-0016-00000052090-i04.jpg
case_images: PMC10858631_01_cureus-0016-00000052090-i04.jpg
case_images: FIG4
case_images: Chest CT showed a cavitation and adjacent extensive consolidation with air bronchograms in the left upper lobe (Figure 4), and abdominal CT showed multiple hepatosplenic lesions suggestive of TB involvement (Figure 5).
case_images: Abdomen CT scan. Abdominal CT showing multiple hepatic lesions (red arrows) and splenic lesions (blue arrows) suggestive of TB involvement
case_images: cureus-0016-00000052090-i05.jpg
case_images: PMC10858631_01_cureus-0016-00000052090-i05.jpg
case_images: FIG5
case_images: Chest CT showed a cavitation and adjacent extensive consolidation with air bronchograms in the left upper lobe (Figure 4), and abdominal CT showed multiple hepatosplenic lesions suggestive of TB involvement (Figure 5).
case_images: Brain MRI lesions. Brain magnetic resonance imaging (MRI) showing occipital subcentimetric lesions with T2 hypodensity and ring enhancement (red arrow)
case_images: cureus-0016-00000052090-i06.jpg
case_images: PMC10858631_01_cureus-0016-00000052090-i06.jpg
case_images: FIG6
case_images: Brain MRI showed multiple subcentimetric lesions with T2 hypodensity and ring enhancement after contrast, affecting the right occipital, frontal, and anterior temporal lesions and the left internal temporal and parasagittal occipital regions with ipsilateral cerebellar regions (Figure 6).
case_images: Brain MRI pituitary lesion. Brain MRI showing marked involvement of the pituitary gland after contrast
case_images: cureus-0016-00000052090-i07.jpg
case_images: PMC10858631_01_cureus-0016-00000052090-i07.jpg
case_images: FIG7
case_images: Also, there was a marked involvement of the pituitary gland (Figure 7).