Acute suppurative pyelonephritis

Case contributed by Dr Hani Salam

Presentation

Diabetic patient with left flank pain, fever and hematuria for 3 days duration, not responding to medical treatment.

Patient Data

Age: 30 years
Gender: Female
X-ray

Enlarged left renal outline.

Left renal enlargement, with patchy or striated nephrogram and cortical wedge-shaped areas of decreased density. There is a loss of normal corticomedullary differentiation with multiple peripheral & cortical abscesses. There is a thickening of walls of renal pelvis, calyces and proximal ureter with abnormal enhancement.

Excretory phase demonstrates a streaky linear bands of alternating high and low attenuation.

Case Discussion

Acute suppurative pyelonephritis in a diabetic patient.

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Case information

rID: 18306
Case created: 28th Jun 2012
Last edited: 5th May 2016
System: Urogenital
Inclusion in quiz mode: Included

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