case_images: PMC11800071_01
case_images: Maculopapular rash of the lower extremities. (A) Right and left lower extremities on admission. (B) Right and left lower extremities on postoperative day 3 of mitral valve replacement (hospital day 21). (C) Right and left lower extremities on 3 months after hospital discharge.
case_images: bcr-18-2-g001.jpg
case_images: PMC11800071_01_bcr-18-2-g001.jpg
case_images: F1
case_images: Her physical examination was notable for holosystolic murmur and maculopapular rash (figure 1A).
case_images: Kidney biopsy. Light microscopy shows a glomerulus with cellular crescents and fibrinoid necrosis (white arrow). There are no immune complex deposits, segmental glomerulosclerosis, endocapillary proliferation or acute tubular necrosis. There is no vasculitis in the arteriole. Periodic acid-Schiff, Jones and trichome stains were used.
case_images: bcr-18-2-g002.jpg
case_images: PMC11800071_01_bcr-18-2-g002.jpg
case_images: F2
case_images: The interlobular arteries and large-sized arteries showed mild intimal fibrosis (figure 2).