Renal cortical necrosis

Case contributed by Dr Charlie Chia-Tsong Hsu

Presentation

Streptococcus pneumoniae septic shock and disseminated intravascular coagulation.

Patient Data

Age: 35 years
Gender: Female
CT

Reversal of normal corticomedullary differentiation with hyperattenuating renal medulla and hypoattenuating renal cortex (reverse rim sign) compatible with renal cortical necrosis.  Background of bilateral lower lobe consolidation, anasarca and ascites.

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