case_images: PMC5750514_01
case_images: Radiograph on day of admission. Radiograph showing dense consolidation of the right lung obscuring the cardiothymic silhouette and tracheal deviation towards the right. Bilateral consolidation with associated air bronchograms.
case_images: CRICC2017-1050284.001.jpg
case_images: PMC5750514_01_CRICC2017-1050284.001.jpg
case_images: fig1
case_images: Her first chest X-ray showed bilateral consolidations with air bronchograms, consistent with diffuse pulmonary hemorrhage (Figure 1).
case_images: Renal biopsy. (a) Acute diffuse proliferative glomerulonephritis with intracapillary neutrophils and closure of glomerular capillaries and infiltration of capillaries. (b) and (c) Portion of glomerus shows intracapillary inflammatory cells, swelling of endothelial cells, mesangium, and subendothelial and (d) rare subepithelial dense deposits.
case_images: CRICC2017-1050284.002.jpg
case_images: PMC5750514_01_CRICC2017-1050284.002.jpg
case_images: fig2
case_images: A renal biopsy was performed which demonstrated enlarged glomeruli with diffuse endocapillary hypercellularity with numerous neutrophils and closure of glomerular capillaries (Figure 2).
case_images: Follow-up radiograph. Improvement in pulmonary disease from previous image five days following admission and treatment. Mild perihilar consolidation persists with basal atelectasis.
case_images: CRICC2017-1050284.003.jpg
case_images: PMC5750514_01_CRICC2017-1050284.003.jpg
case_images: fig3
case_images: Her chest X-ray improved greatly by day 5 in hospital (Figure 3) and she was successfully weaned off HFOV and CRRT.