case_images: PMC5440791_01
case_images: Chest X-ray on initial presentation.
case_images: CRIN2017-1256142.001.jpg
case_images: PMC5440791_01_CRIN2017-1256142.001.jpg
case_images: fig1
case_images: Initial chest X-ray showed bilateral diffuse peribronchial cuffing and nodular opacities with concerns for severe bronchiolitis/bronchopneumonia (Figure 1).
case_images: Trichrome stain showing global glomerulosclerosis.
case_images: CRIN2017-1256142.002.jpg
case_images: PMC5440791_01_CRIN2017-1256142.002.jpg
case_images: fig2
case_images: We proceeded with a renal biopsy to ascertain a tissue diagnosis for the glomerulonephritis. 12 glomeruli were available for light microscopic examination. 9/12 glomeruli showed global sclerosis (Figure 2).
case_images: Glomerulus showing intraglomerular sclerosis.
case_images: CRIN2017-1256142.003.jpg
case_images: PMC5440791_01_CRIN2017-1256142.003.jpg
case_images: fig3
case_images: Remaining glomeruli showed cellular to fibrocellular crescents (Figure 3).
case_images: Immunofluorescence showing linear IgG deposits.
case_images: CRIN2017-1256142.004.jpg
case_images: PMC5440791_01_CRIN2017-1256142.004.jpg
case_images: fig4
case_images: Immunofluorescence showed intense linear glomerular capillary staining with IgG, Kappa, and lambda chains (Figure 4).