case_images: PMC6180957_01
case_images: Maculopapular rash.
case_images: CRIHEP2018-1269340.001.jpg
case_images: PMC6180957_01_CRIHEP2018-1269340.001.jpg
case_images: fig1
case_images: Additionally, she reported 4-5 days of erythematous rash that began on her face and chest that then spread to her arms and abdomen (Figures 1-2).
case_images: Crusted vesicle.
case_images: CRIHEP2018-1269340.002.jpg
case_images: PMC6180957_01_CRIHEP2018-1269340.002.jpg
case_images: fig2
case_images: Additionally, she reported 4-5 days of erythematous rash that began on her face and chest that then spread to her arms and abdomen (Figures 1-2).
case_images: Skin biopsy.
case_images: CRIHEP2018-1269340.003.jpg
case_images: PMC6180957_01_CRIHEP2018-1269340.003.jpg
case_images: fig3
case_images: The patient's dermatologist had performed skin biopsies 2 days prior to admission that showed multinucleated giant cells with viral inclusions suggestive of some type of herpes virus infection (Figures 3-5).
case_images: Skin biopsy: intact epidermis on one side and lesion on the other.
case_images: CRIHEP2018-1269340.004.jpg
case_images: PMC6180957_01_CRIHEP2018-1269340.004.jpg
case_images: fig4
case_images: The patient's dermatologist had performed skin biopsies 2 days prior to admission that showed multinucleated giant cells with viral inclusions suggestive of some type of herpes virus infection (Figures 3-5).
case_images: Skin biopsy: viral cytoplasmic effect including multinucleated cells and marginalization of chromatin.
case_images: CRIHEP2018-1269340.005.jpg
case_images: PMC6180957_01_CRIHEP2018-1269340.005.jpg
case_images: fig5
case_images: The patient's dermatologist had performed skin biopsies 2 days prior to admission that showed multinucleated giant cells with viral inclusions suggestive of some type of herpes virus infection (Figures 3-5).
case_images: Hepatocytes with frank necrosis.
case_images: CRIHEP2018-1269340.006.jpg
case_images: PMC6180957_01_CRIHEP2018-1269340.006.jpg
case_images: fig6
case_images: Liver biopsy was performed which revealed multiple areas of necrotic hepatocytes (up to 35% of liver parenchyma) (Figures 6-7) in zones 2 and 3 of the liver.
case_images: Larger foci of hepatocytes with frank necrosis.
case_images: CRIHEP2018-1269340.007.jpg
case_images: PMC6180957_01_CRIHEP2018-1269340.007.jpg
case_images: fig7
case_images: Liver biopsy was performed which revealed multiple areas of necrotic hepatocytes (up to 35% of liver parenchyma) (Figures 6-7) in zones 2 and 3 of the liver.
case_images: Areas of necrosis abutting portal triad with chronic minimal inflammation; no significant steatosis seen and no periportal fibrosis or vasculitis appreciated.
case_images: CRIHEP2018-1269340.008.jpg
case_images: PMC6180957_01_CRIHEP2018-1269340.008.jpg
case_images: fig8
case_images: The necrosis also abutted portal triads seen in the specimens (Figure 8).