Splenic Rupture and Malignant Mediterranean Spotted Fever

Fatal splenic rupture caused by an atypical malignant lymphoma in a Holstein cow

Postmortem examination of a 5.5-year-old Holstein cow with history of sudden death showed a veryhuge spleen (120 × 45 × 10 cm) associated with severe haemoperitoneum. Histopathological findingsincluded extensive infiltration of medium to large sized lymphocytic and lymphoblastic cells with smallamounts of cytoplasm, round nuclei with coarsely granular chromatin in the spleen, and limited foci o...

Chylous Peritonitis with Small Bowel Obstruction

discussion: This case highlights the delay with which an iatrogenic splenic injury can present. The most important indicator in this case, which could relate to splenic injury, was a scar near the splenic region following lung biopsy. Clinical problems after splenic rupture have been classified into three groups characterized by the delay in presentation and type of symptoms. Group one: acute r...

Pathologic Splenic Rupture in a Patient with Follicular Lymphoma

A middle aged man presented with abdominal pain and fever, with progressive dyspnea for the past one week. He had generalized lymphadenopathy with hepatosplenomegaly and a left sided pleural effusion on admission. Further evaluation revealed that he had lymphocytosis on peripheral blood. He then developed increasing abdominal pain and fall in hemoglobin which was confirmed on imaging to be due ...

Spotted Fevers

Spotted fevers, which are caused by Rickettsia spp. in the spotted fever group (SFG), have been recognized in people for more than a hundred years. The clinical signs are broadly similar in all of these diseases, but the course ranges from mild and self-limited to severe and life-threatening. For a long time, spotted fevers were thought to be caused by only a few organisms, including Rickettsia...

Malignant forms of Mediterranean spotted fever: risk factors for fatal outcomes.