case_images: PMC10785719_01
case_images: (A) Normal chest x-ray at admission. (B) Chest x-ray revealed multifocal airspace infiltrates.
case_images: 10.1177_23247096231215730-fig1.jpg
case_images: PMC10785719_01_10.1177_23247096231215730-fig1.jpg
case_images: fig1-23247096231215730
case_images: Of note, her chest x-ray (CXR) on admission was normal (Figure 1A). Chest x-ray (day 8 from date of first admission) (Figure 1B) and computed tomography (CT) of the chest revealed multifocal airspace infiltrates.
case_images: Trend of Erythrocyte sedementation rate (ESR), C- reactive protien (CRP), and creatinine during hospital admission.
case_images: 10.1177_23247096231215730-fig2.jpg
case_images: PMC10785719_01_10.1177_23247096231215730-fig2.jpg
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case_images: Her sedimentation rate and c-reactive protein dropped from 92 to 57 mm/h and from 13 to 2.4 mg/dl (Figure 2), respectively, with improvement in symptoms prior to discharge.
case_images: PMC10785719_02
case_images: Trend of creatinine during hospital admission.
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case_images: PMC10785719_02_10.1177_23247096231215730-fig3.jpg
case_images: fig3-23247096231215730
case_images: He was also found to have a new-onset left-sided pleural effusion, new-onset renal insufficiency creatinine was 2.2 mg/dl from a baseline of 1.0 mg/dl (Figure 3), and urine analysis revealed active urinary sediment (proteinuria, red blood cell [RBC] casts, and white blood cell [WBC] casts).
case_images: PMC10785719_03
case_images: (A) Chest x-ray showed bilateral perihilar masses and multiple pulmonary nodules. (B) Chest x-ray showed worsening pulmonary infiltrates.
case_images: 10.1177_23247096231215730-fig4.jpg
case_images: PMC10785719_03_10.1177_23247096231215730-fig4.jpg
case_images: fig4-23247096231215730
case_images: His CXR showed bilateral perihilar masses and multiple pulmonary nodules (Figure 4A). Follow-up CXR (Figure 4B) showed worsening pulmonary infiltrates, and the patient was referred to pulmonology for further assessment.