case_images: PMC10569659_01
case_images: PMC10569659_02
case_images: PMC10569659_03
case_images: PMC10569659_04
case_images: CT scan of the abdomen with contrast, coronal view. Numerous hypoattenuating small nodules are seen throughout the spleen (red arrow). These imaging features are non-specific, but are compatible with microabscesses. The liver is nodular, and the spleen is moderately enlarged. Perihepatic and perisplenic ascites (yellow arrows) are present, in keeping with underlying cirrhosis. There are no obvious hepatic masses or abscesses.
case_images: acmi-5-525.v3-g001.jpg
case_images: PMC10569659_04_acmi-5-525.v3-g001.jpg
case_images: F1
case_images: CT scan of the abdomen with contrast, axial view. Numerous hypoattenuating small nodules are seen throughout the spleen (red arrow). These imaging features are non-specific, but the radiographic appearance is compatible with microabscesses. The liver is nodular, and the spleen is moderately enlarged. Perihepatic and perisplenic ascites (yellow arrows) are present, in keeping with underlying cirrhosis. There are no obvious hepatic masses or abscesses.
case_images: acmi-5-525.v3-g002.jpg
case_images: PMC10569659_04_acmi-5-525.v3-g002.jpg
case_images: F2
case_images: Gram stain of blood culture sample. Short Gram-negative bacilli are seen under light microscopy; 1000x magnification.
case_images: acmi-5-525.v3-g003.jpg
case_images: PMC10569659_04_acmi-5-525.v3-g003.jpg
case_images: F3
case_images: Gram-negative coccobacilli in all four bottles. Gram staining showed short Gram-negative bacilli (Fig. 3).
case_images: PMC10569659_05
case_images: PMC10569659_06
case_images: PMC10569659_07