case_images: PMC5987150_01
case_images: Cut surface of the lower lobe of the left lung showing one of the areas of chronic granulomatous caseous necrosis
case_images: PAMJ-29-37-g001.jpg
case_images: PMC5987150_01_PAMJ-29-37-g001.jpg
case_images: f0001
case_images: Findings at autopsy revealed shrunken and partially fibrotic lower lobe of the left lung (about 60% of normal) with the presence of three areas of caseous necrosis located in both the upper and lower lobes (Figure 1).
case_images: Puncture wounds at the apex of the heart. Note the vital reaction at the site of the injury
case_images: PAMJ-29-37-g002.jpg
case_images: PMC5987150_01_PAMJ-29-37-g002.jpg
case_images: f0002
case_images: There were about four puncture wounds located at the apex of the heart, adjacent to the site of the pericardial laceration (Figure 2).
case_images: Laceration of the pericardial sac (big arrow); massive blood clot within the pericardial space (small arrow) that led to cardiac tamponade
case_images: PAMJ-29-37-g003.jpg
case_images: PMC5987150_01_PAMJ-29-37-g003.jpg
case_images: f0003
case_images: Gross examination of the pericardial sac showed a 1.2 x 0.7cm laceration of the pericardial sac at the apex with about 650mls of clotted blood within the pericardial space (Figure 3).