An Unusual Nodular Glomerular Lesion

A 67-year-old white male with chronic kidney disease (CKD) stage 3a (baseline Cr 1.5mg/dl) and type 2 diabetes mellitus for over 20 years, as well as hypertension and obesity presented for evaluation of left heel ulcerative wound that had been progressively worsening over the previous 3 months. He recently noted foul-smelling drainage and subjective fevers. His blood pressure was ...