7th July 2024

A 50-year-old patient presented to his GP with a fever, cough and haemoptysis

A 50-year-old patient presented to his GP with a fever, cough and haemoptysis. He was given oral antibiotics for pneumonia. He now presents to the emergency department with shortness of breath & haematuria.

Investigations show: Hb 90 g/L (115-165), WBC 10.6×10⁹/L (4-11), Neutrophils 8.9×10⁹/L (2-8), Platelets 160×10⁹/L (150-400), Na 131 mmol/L (135-145), K 5.2 mmol/L (3.5-5), Urea 9.6mmol/L (2.5-7.5), Creatinine 290 μmol/L (60-110). Urine Dipstick Shows 2+ protein and 2+ Blood. CXR shows bilateral infiltrates. He underwent a renal biopsy which showed linear IgG deposition.

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