Acute bilateral pyelonephritis

Case contributed by Dr Bita Abbasi

Presentation

A young woman presenting with fever, chills and abdominal pain.

Patient Data

Age: 20 years
Gender: Female
CT

Multiple hypoenhancing areas in both kidneys, giving striated nephrogram appearance. The hyperenhancing regions involve the cortical rim, a feature differentiating them from acute cortical necrosis (rim sign). Also, note the perinephric fat stranding

Case Discussion

Acute pyelonephritis generally involves a single kidney. Bilateral involvement is uncommon and presents with more severe symptoms.

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Case information

rID: 74153
Published: 6th Feb 2020
Last edited: 6th Feb 2020
System: Urogenital
Inclusion in quiz mode: Included

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