case_images: PMC8613450_01
case_images: Sodium dithionite test on admission (on the left) and after the first hemodialysis (on the right)
case_images: ABR-10-32-g001.jpg
case_images: PMC8613450_01_ABR-10-32-g001.jpg
case_images: F1
case_images: Initial complete blood count, electrolytes, coagulation, liver, and kidney function tests showed no abnormalities [Supplementary Table 1], but urine sodium dithionite test was positive [Figure 1]. An hour after hemodialysis the dithionite test was repeated and was slightly paler [Figure 1], however, due to a maintained positive dithionate test, hemodialysis was implemented for the second time for 8 h.
case_images: Chest radiography: on admission (on the left): normal and on the 5th day of admission (on the right): With diffuse fibrotic change and reticulonodular opacities in bilateral lungs
case_images: ABR-10-32-g002.jpg
case_images: PMC8613450_01_ABR-10-32-g002.jpg
case_images: F2
case_images: Besides, follow-up chest X-ray (CXR) revealed the presence of diffuse fibrotic changes on the 5th day of admission [Figure 2].
case_images: Chest radiography: with left-sided pneumothorax and left lung upper lobe atelectasis on the 6th day of admission
case_images: ABR-10-32-g003.jpg
case_images: PMC8613450_01_ABR-10-32-g003.jpg
case_images: F3
case_images: After Permcath insertion for dialysis, on the 6th day of admission, left SC infraclavicular emphysema with crepitation was observed, which accompanied by a left-sided pneumothorax and left lung upper lobe atelectasis, demonstrated in CXR [Figure 3].