case_images: PMC6011111_01
case_images: Lab trends during patient's hospital stay. The left axis displays creatinine, carboxyhemoglobin, and lactic acid and the right axis displays creatine kinase.
case_images: CRIN2018-4627890.001.jpg
case_images: PMC6011111_01_CRIN2018-4627890.001.jpg
case_images: fig1
case_images: However, 36 hours into admission, his serum creatinine inexplicably rose to 2.3 with a rise in carboxyhemoglobin to 3.6%, while his urine output remained stable (Figure 1).
case_images: Renal ultrasound. (a) Sagittal section of the right kidney demonstrating increased echogenicity. The right kidney measures 12.3 x 5.5 x 5.9 centimeters. (b) Sagittal section of the left kidney demonstrating increased echogenicity (blue line). The left kidney measures 13.4 x 6.4 x 5.2 centimeters.
case_images: CRIN2018-4627890.002.jpg
case_images: PMC6011111_01_CRIN2018-4627890.002.jpg
case_images: fig2
case_images: A renal ultrasound showed increased echogenicity of both kidneys consistent with medical renal disease, without change in size, atrophy, or cystic lesions (Figure 2).