case_images: PMC9853041_01
case_images: CT scan revealed gas collection in the parenchyma and renal pelvis (arrowheads) and perirenal fascia thickening (arrows) of the left kidney.
case_images: fmed-09-1038455-g0001.jpg
case_images: PMC9853041_01_fmed-09-1038455-g0001.jpg
case_images: F1
case_images: A CT scan in horizontal plane sectioning showed that the left kidney was significantly enlarged with thickened perirenal fascia, which was related to the presence of gas in the renal parenchyma and the kidney pelvis (Figure 1).
case_images: Laboratory tests and urine output dynamic change. (A) Changes of white-cell, (B) changes of c-reactive protein, (C) changes of procalcitonin, (D) changes of serum creatinine, and (E) changes of urine output.
case_images: fmed-09-1038455-g0002.jpg
case_images: PMC9853041_01_fmed-09-1038455-g0002.jpg
case_images: F2
case_images: Her clinical symptoms and serum inflammatory indicators (Figures 2A-C) improved gradually, and she stopped using norepinephrine (day 3). Her renal function (day 3) also recovered (Figures 2D, E), and she was successfully weaned with continuous renal replacement therapy.