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Title: Eyes can See What Mind Can’t see

A 55 year old Caucasian female with a history of Iron deficiency anemia with hemoglobin of 6.1 gm/dl was admitted from her hematologist office for a Venofer infusion. She had profound confusion on presentation. Physical examination was pertinent for fever of 101οF, and laboratory data pertinent for elevated blood sugars of 590 mg/dl, leukocytosis of 10.3 K/UL with bandemia of 13%, elevated AST 170 U/L, ALT 184 U/L, and normal alkaline phosphate and total bilirubin. She was subsequently found to have Strep. Viridian bacteremia and CT scan of Chestabdomen- pelvis revealed multiple hepatosplenic masses consistent with malignancy or abscesses. Liver biopsy showed benign liver cells with a background of acute and chronic inflammatory cells and abscess (*image shown). She was treated with long term course of Ceftriaxone via PICC line.
Authors:
; ;  [1]
  1. Department of Internal Medicine, Abington Jefferson Health (United States)
Publication Date:
OSTI Identifier:
22504540
Resource Type:
Journal Article
Resource Relation:
Journal Name: International Journal of Clinical and Medical Imaging; Journal Volume: 3; Journal Issue: 3; Other Information: PUBLISHER-ID: 2376-0249.1000433; Copyright: (c) 2016 Ahsan I, et al.; This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ABSCESSES; ANEMIAS; BILIRUBIN; BIOPSY; BLOOD; COMPUTERIZED TOMOGRAPHY; FEMALES; FEVER; HEMOGLOBIN; IMAGE PROCESSING; IMAGES; INFLAMMATION; IRON; LIVER; LIVER CELLS; NEOPLASMS; PELVIS; PHOSPHATES; SACCHAROSE