PMC9067048_01
Chest x-ray showing enlarged heart and vascular congestion.
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Chest x-ray did suggest congestion cardiomegaly with diffuse interstitial infiltrates bilaterally (Figure 1).
Hematoxylin and eosin-stained light microscopy showing neutrophilic debris in glomeruli.
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Light microscopy revealed severe diffuse endocapillary hypercellularity along with severe interstitial inflammatory infiltrates without any crescents (Figures 2 and 3).
Periodic acid-Schiff-stained light microscopy showing endocapillary hypercellularity.
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Light microscopy revealed severe diffuse endocapillary hypercellularity along with severe interstitial inflammatory infiltrates without any crescents (Figures 2 and 3).
Immune microscopy demonstrating Ig M deposits.
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Immunofluorescent microscopy revealed granular mesangial and focal subendothelial staining with Immunoglobulin (Ig) G, Ig A, Ig M, C1q, C3 among others suggestive full-house effect as seen in lupus (Figures 4 and 5).
Immune microscopy demonstrating C 3 deposits.
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Immunofluorescent microscopy revealed granular mesangial and focal subendothelial staining with Immunoglobulin (Ig) G, Ig A, Ig M, C1q, C3 among others suggestive full-house effect as seen in lupus (Figures 4 and 5).
Electron microscopy showing subendothelial deposits.
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Electron microscopy revealed subendothelial glomerular deposits and mesangial plus loop deposits (Figures 6 and 7).
Electron microscopy showing mesangial deposits.
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Electron microscopy revealed subendothelial glomerular deposits and mesangial plus loop deposits (Figures 6 and 7).