I am unable to make medical recommendations, treatment recommendations or offer a prognosis without performing a complete history and physical examination. The kidney biopsy suggest that the patient could have Hemolytic Uremic Syndrome (HUS), Thombotic Thrombocytopenic Purpura (TTP), malignant hypertension, scleroderma, post partum kidney failure, or atypical HUS. All of these diseases are a possibility. The kidney biopsy suggests significant destruction of the kidney. I recommend that you discuss your concerns with the physicians who are caring for this person.