Abstract
A 37-year-old woman from Illinois with a history of an idiopathic T-cell deficiency (CD4 cell count, 249 cells per cubic millimeter, and negative for infection with the human immunodeficiency virus), histoplasma pneumonia in childhood, and recurrent vulvovaginal candidiasis presented with nausea and odynophagia for three days. Physical examination was unremarkable except for the presence of oral candidiasis and mild tenderness in the left upper quadrant. As a part of the workup, she underwent computed tomography (CT) of the abdomen, which showed extensive, diffuse calcification of the spleen (Panel A, large arrow) with several calcified lymph nodes within the abdominal cavity . . .
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