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Special Feature
March 2000

Pathological Case of the Month

Author Affiliations

From the Departments of Pathology (Drs Savell and Parham) and Pediatrics (Dr Jacobs), University of Arkansas for Medical Sciences, and Arkansas Children's Hospital, Little Rock.



Arch Pediatr Adolesc Med. 2000;154(3):311. doi:10.1001/archpedi.154.3.311

A PREVIOUSLY HEALTHY 5-year-old Hispanic girl presented with a 4-month history of fever and night sweats and a recent onset of abdominal swelling and anorexia. She had traveled to Mexico 13 months previously and had otherwise been living in Texas and Arkansas. She did not have a cough, vomiting, or diarrhea but had a history of consumption of pork and goat's milk. Findings from physical examination were remarkable for hepatosplenomegaly. Findings from a bone marrow examination revealed normal hematopoiesis with scattered ill-defined aggregates of foamy histiocytes (Figure 1). A biopsy of the bone marrow core was performed (Figure 2 and Figure 3). Blood cultures and serologic titers were positive for a bacterial organism.