case_images: PMC10870101_01
case_images: MRI of the brain (axial section) with diffusion-weighted imaging sequence showing areas of diffusion restriction in the bilateral frontal region (A) with corresponding low apparent coefficient value (B). MRI, magnetic resonance imaging
case_images: cureus-0016-00000052466-i01.jpg
case_images: PMC10870101_01_cureus-0016-00000052466-i01.jpg
case_images: FIG1
case_images: Images showing ecchymosis over the bilateral upper and lower limbs (A-C) and fluid-filled vesicles (bullae) associated with extensive subcutaneous edema (D)
case_images: cureus-0016-00000052466-i02.jpg
case_images: PMC10870101_01_cureus-0016-00000052466-i02.jpg
case_images: FIG2
case_images: In addition to two episodes of melena, there was worsening of the patient's thrombocytopenia, and the development of ecchymosis over both the upper and lower limbs occurred on day 3 (Figures 2A-2C). Furthermore, there was a great deal of subcutaneous edema on the front side of the left elbow and the area immediately around the forearm, as well as fluid-filled vesicles (bullae) all over the left upper limb (Figure 2D); the patient was transfused with single-donor platelets, fresh frozen plasma, and packed red blood cells.
case_images: HRCT of the chest: (A) axial section showing bilateral pleural effusion, (B) coronal section showing ground-glass opacities in the superior segment of the right lower lobe, (C) axial section showing interlobular septal thickening in the left lower lobe
case_images: cureus-0016-00000052466-i03.jpg
case_images: PMC10870101_01_cureus-0016-00000052466-i03.jpg
case_images: FIG3
case_images: High-resolution computed tomography (HRCT) of the thorax was performed, which revealed bilateral pleural effusion and ground-glass opacities in the superior segment of the right lower lobe with interlobular septal thickening in the left lower lobe (Figures 3A-3C), suggestive of pulmonary edema.