case_images: PMC5161798_01
case_images: Graph depicting creatinine trend. The arrow points to the day when high-dose steroid therapy was initiated.
case_images: JCHIMP-6-32976-g001.jpg
case_images: PMC5161798_01_JCHIMP-6-32976-g001.jpg
case_images: F0001
case_images: In spite of adequate hydration, the patient's renal function continued to deteriorate, and serum creatinine peaked at 7.5 mg/dl on day 4 (Fig. 1).
case_images: (a) H&E stainx100: Core biopsy showing a small focus of interstitial hemorrhage in the corticomedullary junction (pointed by the arrow). (b) H&E stainx200: Core biopsy showing renal cortex with diffuse interstitial inflammation consisting of mainly lymphocytes, plasma cells, and sparse eosinophils. A congested but otherwise unremarkable glomerulus (pointed by the arrow) and a cluster of proximal tubules, few of which contain red cell casts, can be seen in the background.
case_images: JCHIMP-6-32976-g002.jpg
case_images: PMC5161798_01_JCHIMP-6-32976-g002.jpg
case_images: F0002
case_images: AIN (Fig. 2a and b). A skin biopsy of the rash was compatible with perifolliculitis and superficial perivascular dermatitis.