case_images: PMC5429921_01
case_images: Pretreatment CT with contrast showing enlarged intra-abdominal nodes and splenomegaly.
case_images: CRIONM2017-5235163.001.jpg
case_images: PMC5429921_01_CRIONM2017-5235163.001.jpg
case_images: fig1
case_images: Tomography (CT) imaging was performed on his chest, abdomen, and pelvis with contrast which showed diffuse bulky adenopathy, marked splenomegaly with evidence of portal hypertension, moderate ascites, and bilateral pleural effusions (Figure 1). The initial management was directed at treating him for possible sepsis and he was placed on broad-spectrum empiric antibiotics which did not improve his symptoms and blood and urine cultures returned negative.
case_images: Posttreatment CT with contrast of the abdomen showing resolution of the enlarged intra-abdominal lymph nodes and reduction in splenic size.
case_images: CRIONM2017-5235163.002.jpg
case_images: PMC5429921_01_CRIONM2017-5235163.002.jpg
case_images: fig2
case_images: His posttreatment CT with contrast of the abdomen showed a marked reduction in the size of his enlarged intra-abdominal lymph nodes and splenic size (Figure 2).