case_images: PMC2804112_01
case_images: Computed tomography scan of the abdomen showed massive splenomegaly and extensive lymphadenopathy . (L: liver, S: spleen, N: lymphadenopathy).
case_images: CRM2009-534561.001.jpg
case_images: PMC2804112_01_CRM2009-534561.001.jpg
case_images: fig1
case_images: Computed tomography (CT) scan of the abdomen and pelvis revealed massive splenomegaly measuring 25 cm craniocaudally, and extensive lymphadenopathy in the abdomen and pelvis (Figure 1). 
case_images: Correlation between lactate level and vital signs.
case_images: CRM2009-534561.002.jpg
case_images: PMC2804112_01_CRM2009-534561.002.jpg
case_images: fig2
case_images: With these measures, lactate improved to 6.7 mmol/L but shortly after that rose to 27.7 mmol/L (Figures 2 and 3). 
case_images: Correlation between lactate level, pH, bicarbonate, creatinine, and hemoglobin.
case_images: CRM2009-534561.003.jpg
case_images: PMC2804112_01_CRM2009-534561.003.jpg
case_images: fig3
case_images: With these measures, lactate improved to 6.7 mmol/L but shortly after that rose to 27.7 mmol/L (Figures 2 and 3). 