PMC5216148_01
The clinical course of Case 1.
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Five months after being discharge, his proteinuria and hematuria had resolved, and his levels of creatinine, hemoglobin, CRP, and PR3-ANCA had returned to normal ranges (Fig. 1).
PMC5216148_02
The findings for echocardiogram and chest CT in Case 2. Echocardiogram revealed the presence of a VSD and tricuspid regurgitation with a 10-mm sized vegetation and an ejection fraction of 73.6% (A, B). Chest CT revealed multiple patty shadows in both lung fields, suggesting bacterial emboli (C, D).
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An ultrasound cardiac examination demonstrated a VSD and tricuspid regurgitation with a 10-mm vegetation and an ejection fraction of 73.6% (Fig. 2A and B). Chest and abdominal computed tomography scans revealed multiple patty shadows in both lung fields, suggesting bacterial emboli (Fig. 2C and D), with mild pleural effusion and hepatosplenomegaly.
The clinical course of Case 2.
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Two months after being discharged, his urinary abnormalities had resolved and his PR3-ANCA levels had returned to the normal range (Fig. 3).