PMC6169228_01
CT of abdomen, axial and sagittal views, with findings of multifocal areas of parenchymal infection and necrosis to left kidney*.
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fig1
By PPD9, with continued fevers to 39.3 degrees celsius, abdominal CT imaging was concerning for left renal multifocal infection and parenchymal necrosis (Figure 1).
Renal parenchyma shows severe acute pyelonephritis with multifocal abscess formation and multifocal renal infarction.
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fig2
PPD10, after Urology and Maternal Fetal Medicine consultations, the patient underwent an open left nephrectomy. Pathology confirmed severe diffuse pyelonephritis, multifocal abscesses, and diffuse parenchymal infarction (Figure 2).