case_images: PMC5333739_01
case_images: Fever chart during the admittance in the Infectious Diseases ward.
case_images: mjhid-9-1-e2017023f1.jpg
case_images: PMC5333739_01_mjhid-9-1-e2017023f1.jpg
case_images: f1-mjhid-9-1-e2017023
case_images: As long as he kept presenting fever (Figure 1) although therapy for malaria was considered over (piperachin/diidroartemisin 320/40 mg, 3 tablets qd, from August, 31st to September, 2nd) and hemoscopy resulted negative, as suggested by the radiologist, the next day the US was repeated, showing multiple splenic abscesses.
case_images: Abdomen magnetic resonance imaging (T1 and T2 weighted, respectively): Splenic focal areas of signal alteration, with prevalent peripheral subcapsular distribution.
case_images: mjhid-9-1-e2017023f2.jpg
case_images: PMC5333739_01_mjhid-9-1-e2017023f2.jpg
case_images: f2-mjhid-9-1-e2017023
case_images: The morphology of the formations, especially of the most voluminous, was a pyramidal wedge with the apex pointing towards the hilum, and the base of the splenic capsule, while profiles looked finely irregular (Figure 2 and 3).