3D Printed Septic Renal Infarct

3D Printed Septic Renal Infarct Clinical History A 54 year old male patient presents with flank pain. He is an active intravenous drug user. Further questioning reveals a history of intermittent haematuria, fevers, malaise and vomiting. On examination he is hypertensive and pyrexic. Inspection of his limbs reveals Janeway lesions on his extremities and track marks from recent IV drug use. A systolic murmur is found on auscultation of his chest. Blood tests reveal elevated inflammatory markers, impaired renal function, elevated LDH and multiple bacteraemic blood cultures. Echocardiogram shows a large mobile tricuspid vegetation. He was commenced on treatment for infective endocarditis but later died from a sudden cardiac arrest. PathologyThe specimen is the patient’s kidney from post mortem examination. The kidney has been bisected with a cut half surface on display. There are multiple well demarcated wedge shaped pale yellow-white areas evident within th