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Mycobacterium avium intercellulare - Spleen

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The patient was a 75 y/o male with history of myelodysplastic syndrome. He died after a brief febrile illness. Autopsy showed a massively splenomegaly with multiple abscesses. Sections show necrotic granulomas teeming with acid-fast bacilli consistent with Mycobacterium avium-intercellulare.

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