case_images: PMC9896851_01
case_images: Generalized rash presented by the patient (thoracoabdominal area)
case_images: cureus-0015-00000033348-i01.jpg
case_images: PMC9896851_01_cureus-0015-00000033348-i01.jpg
case_images: FIG1
case_images: However, the patient continued to present sustained high fever (38-39,5o Celsius) with new-onset painful cervical and axillary lymphadenopathies and a generalized, non-pruritic maculopapular rash (Figure 1), without the involvement of palmar and plantar surfaces of hands and feet.
case_images: Chest CT scan showing bilateral pleural effusion (red arrows), ground-glass opacities (green arrows), and pericardial effusion (yellow arrow).
case_images: cureus-0015-00000033348-i02.jpg
case_images: PMC9896851_01_cureus-0015-00000033348-i02.jpg
case_images: FIG2
case_images: Chest x-ray showed diffused bilateral opacities and CT-pulmonary angiography excluded the presence of pulmonary thromboembolism, revealing bilateral pleural effusion, ground-glass opacities dispersed by all pulmonary parenchyma and pericardial effusion (Figure 2).
case_images: Cranial MRI showing left temporal hyperdensity in T2 sequence (red arrow).
case_images: cureus-0015-00000033348-i03.jpg
case_images: PMC9896851_01_cureus-0015-00000033348-i03.jpg
case_images: FIG3
case_images: Head-CT- scan revealed unspecific alterations of density and cranial magnetic resonance imaging (MRI) confirmed the presence of water's diffusion restriction at cortical areas and revealed the presence of a left temporal hyperdense area at the T2 sequence that could be related to an inflammatory process (Figure 3).